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GORE® VIABAHN® Endoprosthesis (Photo: Business Wire)
N2 - The GORE® TAG® (W.L. Gore and Associates, Inc., [AZ, USA]) has gone through many changes since it was first introduced in the late 1990s. The Conformable GORE TAG has recently become commercially available and underwent several changes from the original design to help increase compression resistance, expand treatment ranges and oversizing windows, and improve conformability. This article describes the GORE TAG and Conformable GORE TAG devices, their potential uses and the outcomes in treating various aortic pathologies.
. (Gore) is celebrating the 20th anniversary of the introduction of the GORE® VIABAHN® Endoprosthesis, the market-leading stent-graft for the treatment of complex peripheral vascular disease. The device has been engineered to effectively cover and seal off diseased tissue, providing an endoluminal bypass option for physicians faced with complex, challenging lesions. Since the first implant in Europe in 1996, the device formerly known as the GORE® HEMOBAHN® Endoprosthesis has continuously evolved, now offering CBAS Heparin Surface, lengths up to 25 cm, radiopaque markers, a low profile design, and multiple indications for use. The GORE VIABAHN Endoprosthesis is backed by an ever-growing body of clinical data, including nine randomized or prospective multicenter studies. This continued device evolution and extensive body of clinical proof have enabled the GORE VIABAHN Endoprosthesis to become many physicians’ go-to device for their most challenging cases, selling more than 700,000 units worldwide since its launch.
GORE® VIABAHN® Endoprosthesis - Gore Medical
In the company’s press release, Thomas Vesely, MD, who is an interventional radiologist at the Vascular Access Center in Frontenac Grove, Missouri, commented, “I have confidence in the Gore Viabahn endoprosthesis. The device can be precisely deployed, and its flexibility allows placement across the elbow and other challenging venous anastomotic locations. I can rapidly and accurately deploy a Gore Viabahn device in an emergent situation, and it will provide effective treatment for stenosis at the venous anastomosis of arteriovenous access grafts. The investigational device exemption approval study showed that the Gore Viabahn device provides longer primary patency when compared to repeated angioplasty for these lesions. For these reasons, the Gore Viabahn endoprosthesis is an indispensable device in my endovascular toolbox.”
According to the company, the Gore Viabahn is a low-profile, flexible, self-expanding, small-diameter endoprosthesis that is constructed with a durable, reinforced, biocompatible, expanded polytetrafluoroethylene (ePTFE) liner and attached to an external nitinol stent structure. The ePTFE luminal surface of the Gore Viabahn endoprosthesis incorporates the company’s Carmeda bioactive heparin surface (CBAS). This endpoint covalently bonded CBAS heparin technology is anchored to the graft surface and is intended to provide sustained thromboresistance, the company stated.
GORE® VIABAHN® Endoprosthesis Marks 20 Years of …
“We still see some patients with the first GORE®EXCLUDER® Device, and for those few that have a growingsac due to endotension, we reline those stent grafts withthe newer-generation device.”Gore has since brought additional components ontothe market every few years to expand the indications fortheir device, including new sizes for the stent graft mainbody and limbs.
“Ittook an understanding of the bioengineering of the prosthesesand knowledge of where forces were being applied.”As clinicians began performing an increasing number ofEVAR procedures, limitations became more apparent, anddevice manufacturers stepped up to create solutions.The first-generation GORE® EXCLUDER® AAAEndoprosthesis (Gore & Associates, Flagstaff, AZ) receivedFDA approval in 2002.
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GORE® EXCLUDER® Iliac Branch Endoprosthesis …
announced that more than 250,000 patients have been treated* with the GORE® EXCLUDER® AAA Endoprosthesis. The GORE EXCLUDER Device has become a trusted solution for clinicians around the world since receiving CE Mark in Europe in 1997 and FDA approval in 2002. This trust stems from a device design that has proven to be safe and effective for nearly two decades of implant experience.
The Gore TAG Endoprosthesis | SpringerLink
Two tapered devices are also available: a smaller one,which has a diameter of 26 mm at the proximal enddecreasing to 21 mm distally, and a larger one that is 31mm decreasing to 26 mm distally. These may be useful intreating patients with aneurysms that have a large size discrepancyin their proximal and distal landing zones. Thelargest device is a 45-mm-diameter device, which requiresa 24-F sheath. The new GORE® DrySeal Sheath (Gore &Associates), with a saline-expandable silicone hemostaticvalve, ensures complete hemostasis. This valve allows furthercatheters to be placed into the same sheath after thedevice has been introduced into the thoracic aorta, withno blood loss. Angiography can then be performed withoutthe necessity of accessing either the contralateralfemoral artery or the left brachial artery.
Endoprosthesis - Gore - eSutures - The Suture Superstore
The GORE EXCLUDER AAA Endoprosthesis is a minimally invasive treatment option for patients with abdominal aortic aneurysms (AAA), designed with active infrarenal fixation and engineered to provide migration resistance. The device also features exceptional limb performance due to the unique combination of ePTFE graft material and fully supported, nested, nitinol stent design to prevent kinking and occlusion. A presentation at the 2015 Vascular Annual Meeting featured a meta-analysis of several endovascular aneurysm repair (EVAR) devices that showed the GORE EXCLUDER Device limbs have the lowest incidence of occlusion at both one and three years. (Photo: Business Wire)
GORE® EXCLUDER® Conformable AAA Endoprosthesis …
W. L. Gore & Associates, Inc. (Gore) announced the first implant of the GORE® TAG® Thoracic Branch Endoprosthesis (TBE) in the pivotal study. The patient was enrolled by Himanshu Patel, MD, section head of ...
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