Complications in Endovascular Surgery

Ruptured EVAR Complications

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Grafts Outside the United States

Introduction The market of aortic endografts is in continuous development. Several endografts that have gained the CE mark are under investigation by the FDA before launching in the U.S. market. This chapter describes their peculiarities and the evidence acquired with…

Vascutek (Bolton) TREO Endograft

Introduction Bolton Medical was founded in 1998 and is based in Sunrise, Florida, and Barcelona, Spain. The company was acquired in 2017 by Terumo (Tokyo, Japan), with Bolton Medical’s products merged into Terumo’s Vascutek line of vascular grafts. Bolton Medical…

Nellix

The Nellix device (Endologix, Irvine, CA) is a novel endovascular aneurysm sealing system (EVAS) designed to address some of the issues with current infrarenal endovascular aneurysm devices. Persistent flow in the aneurysm sac after deployment of a stent graft can…

Graft-Specific Issues for EVAR: The Aorfix Endograft

Introduction Anatomical characteristics of infrarenal abdominal aortic aneurysms (AAA) are the most critical factors for successful endovascular repair (EVAR). The long-term durability of EVAR is highly dependent on the integrity of the proximal fixation site. Severe proximal aortic neck angulation…

Endologix AFX

The original Endologix endovascular graft is currently called AFX, mainly to distinguish it from the other Endologix products, Ovation and Nellix (Endologix, Irvine, California). The AFX2 is the third-generation endovascular system after the earlier Powerlink and AFX stent grafts. The…

Endologix Ovation

The Ovation abdominal stent graft system is a unique polymer-based trimodular endoprosthesis that has demonstrated safety and effectiveness in treatment of abdominal aortic aneurysms, especially in patients with challenging neck anatomy and narrow iliac vessels ( Fig. 7.1 ). The…

Complications of the Medtronic Endurant Stent Graft

Background of the Medtronic Endurant Stent Graft Device The Endurant stent graft system is an evolution of previous abdominal stent graft systems to meet the challenges of hostile abdominal aortic aneurysm anatomy. After gaining CE marking in Europe in 2008…

Gore Excluder

Introduction Endovascular aortic repair (EVAR) has become the standard of care in the treatment of infrarenal abdominal aortic aneurysm (AAA), with low perioperative morbidity and mortality and comparable long-term outcomes to open surgical repair. Successful EVAR requires meticulous intraoperative execution…

General Complications of EVAR

Endovascular aortic aneurysm repair (EVAR) was first performed in 1987 ; however, a more popularized adaptation was introduced in the early 1990s. Since then, EVAR’s popularity and methods have expanded with a constantly evolving and growing list of techniques, devices,…