Reconstructing the aortic bifurcation1
![GORE VIABAHN VBX Balloon Expandable Endoprosthesis](/sites/default/files/styles/max_450x450/public/2017-08/VBX-case-study-Angio-img-1.jpg.webp?itok=PPOkrA5e)
Patient presentation
- 76-year-old male
- History of smoking, hypertension, hyperlipidemia, hypercholesterolemia, coronary artery disease
- Bilateral thigh and calf claudication — Rutherford Category 3 (severe claudication)
Clinical challenges
- High-grade, diffuse common iliac stenoses bilaterally
- TASC II Type C lesion
- Severely atheromatous aortoiliac arteries
![GORE VIABAHN VBX Balloon Expandable Endoprosthesis](/sites/default/files/styles/max_450x450/public/2017-08/VBX-case-study-Angio-img-2.jpg.webp?itok=1Ium_LKN)
Procedure
Conservative pre-dilatation to address high-grade stenosis and severe calcification
![GORE VIABAHN VBX Balloon Expandable Endoprosthesis](/sites/default/files/styles/max_450x450/public/2017-08/VBX-case-study-Angio-img-3.jpg.webp?itok=ASPUWYYA)
Procedure
VBX Stent Graft deployment: “kissing” placement reconstructs the aortic bifurcation
![GORE VIABAHN VBX Balloon Expandable Endoprosthesis](/sites/default/files/styles/max_450x450/public/2017-08/VBX-case-study-Angio-img-4.jpg.webp?itok=KkXSt_Nt)
Results
Completion retrograde angiography demonstrates widely patent iliac arteries with VBX Stent Graft
![GORE VIABAHN VBX Balloon Expandable Endoprosthesis](/sites/default/files/styles/max_750x750/public/2017-08/kissing-stent-deployment_0.jpg.webp?itok=mO-lfXCI)
See the procedure: “Kissing” placement with VBX Stent Graft
Featured resources
- Holden A, Merrilees S, Buckley B, Connor B, Colgan F, Hill A. First-in-human experience with the Gore Balloon-Expandable Covered Endoprosthesis in iliac artery occlusive disease. Journal of Endovascular Therapy 2017;24(1):11-18