VASCULAR SURGERY
Endologix AFX
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…
Grafts Outside the United States
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….
Vascutek (Bolton) TREO Endograft
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…
Graft-Specific Issues for EVAR: The Aorfix Endograft
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…
Gore Excluder
Introduction Endovascular aortic repair (EVAR) has become the standard of care in the treatment of infrarenal abdominal aortic aneurysm (AAA), with low perioperative morbidity and mortality and comparable long-term outcomes…
Vascular Closure Devices for Small Arteriotomies: How to Avoid and Deal With Complications
Introduction: Options for Achieving Hemostasis Arterial access was first described by Sven Ivar Seldinger in the 1950s and is increasingly being utilized as open surgeries are replaced by minimally invasive…
Other Access
Introduction General Issues Anatomy While access sites such as the common femoral artery are easily accessible, sometimes alternative access may be needed as a result of the previous site being…
Access Complications
Introduction The common femoral artery (CFA) is considered the most frequently used percutaneous arterial access site. Multiple methods are used as a landmark for entry, including pulse palpation, fluoroscopic guidance,…
Distal Revascularization Interval Ligation Procedure
Historical Background The steal phenomenon was first described in 1969 by Storey and associates after creation of a Brescia-Cimino-Appel autogenous access. Steal can be a potentially limb-threatening event and must…