Reconstructing the aortic bifurcation1

GORE VIABAHN VBX Balloon Expandable Endoprosthesis

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

Procedure

Conservative pre-dilatation to address high-grade stenosis and severe calcification

GORE VIABAHN VBX Balloon Expandable Endoprosthesis

Procedure

VBX Stent Graft deployment: “kissing” placement reconstructs the aortic bifurcation

GORE VIABAHN VBX Balloon Expandable Endoprosthesis

Results

Completion retrograde angiography demonstrates widely patent iliac arteries with VBX Stent Graft

GORE VIABAHN VBX Balloon Expandable Endoprosthesis

See the procedure: “Kissing” placement with VBX Stent Graft

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Featured resources

Resource Library

 

  1. 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

 

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