Review Article

Techniques in Endovascular Aneurysm Repair

Table 1

FDA approved devices for primary infrarenal aortic aneurysm repair.

DeviceCT measurement method(1)Delivery sheath requiredMinimum access diameter for main bodyMinimum access diameter for contralateral limbTreatable aortic neck diameterMinimum aortic length to bifurcationMinimum aortic neck lengthMaximum aortic angulation(2)Suprarenal fixationTreatable iliac diameterMinimum iliac seal zone

Cook Zenith FlexOuter diameterNo22–26 mm graft = 7.1 mm
28–32 mm graft = 7.7 mm
36 mm graft = 8.5 mm
8–10 mm graft = 5.3 mm
12–24 mm graft = 6.0 mm
18–32 mm22–32 mm graft = 82 mm
36 mm graft = 95 mm
15 mm<60 degrees,
<45 degrees(3)
Mandatory7.5–20 mm10 mm

Endologix PowerlinkOuter diameterNo7 mm3 mm18–32 mm25–28 mm graft = 80 mm
34mm graft = 100 mm
15 mm<60 degreesAvailable10–23 mm15 mm

Gore ExcluderInner diameterYes23–8.5 mm graft = 6.8 mm
31 mm graft = 7.6 mm
12–14.5 mm graft = 4.7 mm
16–20 mm graft = 6.8 mm
19–29 mm70 mm15 mm<60 degreesNot available10–18.5 mm10 mm

Gore C3Inner diameterYes23–8.5 mm graft = 6.8 mm
31 mm graft = 7.6 mm
12–14.5 mm graft = 4.7 mm
16–20 mm graft = 6.8 mm
19–29 mm70 mm15 mm<60 degreesNot available10–18.5 mm10 mm

Medtronic AneuRxOuter diameterNo7 mm5 mm16–26 mm80 mm15 mm<45 degreesNot available10–22 mm25 mm

Medtronic EndurantInner diameterNo23–25 mm graft = 5.7 mm
28–36 mm graft = 6.4 mm
10–16 mm graft = 4.5 mm
20–28 mm graft = 5.1 mm
19–32 mm124 mm length graft = 74 mm
145–166 mm length grafts = 84 mm
10 mm≤60 degreesMandatory8–25 mm15 mm

Medtronic TalentOuter diameterNo22–28 mm graft = 7 mm
30–36 mm graft = 8 mm
6 mm18–32 mm80 mm10 mm<60 degreesAvailable8–22 mm25 mm

(1)Based on Instructions for Use (IFU).
(2)Angulation of neck relative to long axis of aorta.
(3)Angulation of suprarenal stents relative to long axis of aorta.