Overview Endoleaks, or persistent flow into the aneurysm sac, are the most common complication of EVAR, occurring in up to a third of cases. They occur at the time of graft implantation, or arise during followup, with varying implications. The…
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Points of Attention in Branched EVAR Branched endovascular aortic aneurysm repair (B-EVAR) was developed for the treatment of thoracoabdominal aortic aneurysms (TAAA). With increasing physician experience and device evolution we can at the moment treat almost all types of aneurysms…
Stent Graft Design Many of the complications of endovascular aneurysm repair result from a mismatch between the demands of the pathology and the capabilities of the device, and many can be avoided by proper patient selection and device selection, based…
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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…
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…
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…
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…
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…