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The latest generation of covered stent grafts

GORE® VIABAHN® VBX Balloon Expandable Endoprosthesis (VBX Stent Graft)

 

Decide with data

The Gore VBX FLEX Clinical Study 3-year follow-up found the VBX Stent Graft to be a robust and durable treatment option for AIOD.1 Now, sustained patient benefit and durability are demonstrated through 5 years.

NOW 6 Fr compatible

GREATER VERSATILITY



Investigator Insights

Andrew Holden, M.D. discusses the background, outcomes and implications of this 5-year long-term data.

    Physician-initiated 5-year VBX Stent Graft follow-up

    Objective and methodology2
    • This physician-initiated study enrolled 59 patients from 3 participating centers that were representative of the VBX FLEX Study 3-year follow-up cohort. Twenty-eight patients completed the 5-year follow-up.
    • The primary durability endpoint was long-term primary patency.

    DURABLE CLINICAL OUTCOMES THROUGH 5 YEARS2:

    89.5%

    primary patency per lesion

    96.1%

    primary assisted patency per lesion

    89.1%

    feedom from target lesion revascularization per subject

    SUSTAINED PATIENT BENEFIT THROUGH 5 YEARS2:

    89%

    of patients improved ≥ 1 Rutherford category from baseline


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    .15

    improvement in mean resting ankle-brachial index (ABI)

    (P < .001, .95 mean ABI)*

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    3x

    improvement in median WIQ measures

    The case for long-term durable clinical outcomes:

    /Case study 1

    Treating severe aortoiliac occlusive disease (AIOD) at the aortic bifurcation

    /Case study 2

    Restoring flow to a patient with stenosis at the aortoiliac bifurcation

    /Case study 3

    Restoring flow in a patient with severe claudication and focal iliac calcification

    GORE® VIABAHN® Endoprosthesis with Heparin Bioactive Surface

    Proven patency with unmatched versatility

     

     

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    GORE® VIABAHN® Endoprosthesis with Heparin Bioactive Surface

    VIABAHN® Device outcomes in iliac occlusive disease

    Prospective, multicenter, single-arm study

    53 patients (61 limbs) with iliac artery occlusion or stenosis (Mean lesion length: 6.9 cm; 48% of limbs in the external iliac artery)

    91%

    primary patency at 1 year3

    95%

    secondary patency at 1 year3


    * (P < .001) Statistically significant change from pre-procedure.

    As used by Gore, Heparin Bioactive Surface refers to Gore's proprietary CBAS® Heparin Surface. 

    Across indication inclusivity, and configuration breadth/capability of balloon expandable covered stents.

    1. Panneton JM, Bismuth J, Gray BH, Holden A. Three-year follow-up of patients with iliac occlusive disease treated with the Viabahn Balloon-Expandable Endoprosthesis. Journal of Endovascular Therapy 2020;27(5):728-736.

    2. Holden A, Takele E, Hill A, et al. Long-term follow-up of subjects with iliac occlusive disease treated with the Viabahn VBX Balloon-Expandable Endoprosthesis. Journal of Endovascular Therapy. In press.

    3. Lammer J, Dake MD, Bleyn J, et al. Peripheral arterial obstruction: prospective study of treatment with a transluminally placed self-expanding stent graft. Radiology 2000;217(1):95-104.

    IFU Consult instructions

    Refer to Instructions for Use at eifu.goremedical.com for a complete description of all applicable indications, warnings, precautions and contraindications for the markets where this product is available. RXOnly

    INDICATIONS FOR USE IN THE U.S.: The GORE® VIABAHN® VBX Balloon Expandable Endoprosthesis is indicated for the treatment of de novo or restenotic lesions found in iliac arteries with reference vessel diameters ranging from 5 mm–13 mm and lesion lengths up to 110 mm, including lesions at the aortic bifurcation.

    CONTRAINDICATIONS: Do not use the GORE® VIABAHN® VBX Balloon Expandable Endoprosthesis in patients with known hypersensitivity to heparin, including those patients who have had a previous incident of Heparin-Induced Thrombocytopenia (HIT) type II.