n Cardiovascular Journal of Africa - Troubleshooting techniques for the Endurant™ device in endovascular aortic aneurysm repair : cardiovascular topic

Volume 25, Issue 5
  • ISSN : 1995-1892
  • E-ISSN: 1680-0745



Endovascular aortic aneurysm repair with the Endurant™ stent-graft system has been shown to be safe and effective in high-risk surgical patients with complex suprarenal and/or infrarenal abdominal aortic aneurysm anatomy. The wire-formed M-shaped stent architecture and proximal springs with anchoring pins theoretically permit optimal sealing in shorter and more angulated proximal aneurysm necks even under off-label conditions. Nonetheless, extremely difficult anatomical situations and inherent graft system-related limitations must be anticipated. Herein, we describe our techniques to overcome the capture of the tip sleeve within the suprarenal bare-stent anchoring pins, other endograft segments, and native vessels.

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