The art of surgery today: The last supper

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Transcript of The art of surgery today: The last supper

EXCLUDER STENT-GRAFT• MODULAR - FLEXIBLE• CATHETER MOUNTED INTRODUCTION• ACTIVE INFRARENAL ATTACHMENT WITH

BARBS

EXCLUDER STENT-GRAFT• 1997 ORIGINAL GORE EXCLUDER DEVICE• 2002 MODIFIED GORE EXCLUDER DEVICE -

modifications for continuouswire diameters -standarizing anchor cut angles -change to the width and location of the proximal sealing cuff

• 2004 LOW PERMEABILITY GORE EXCLUDER DEVICE• 2010 C3 GORE EXCLUDER DEVICE

Low Incidence of Migration

Literature Overview — GORE® EXCLUDER® Device

Products listed may not be available in all markets. GORE®, EXCLUDER®, and designs are trademarks of W. L. Gore & Associates. © 2011 W. L. Gore & Associates, Inc.

Low Incidence of Limb Occlusion

Literature Overview — GORE® EXCLUDER® Device

Products listed may not be available in all markets. GORE®, EXCLUDER®, and designs are trademarks of W. L. Gore & Associates. © 2011 W. L. Gore & Associates, Inc.

Summary of Worldwide Performance — 135,000 Devices Distributed

Products listed may not be available in all markets. GORE®, EXCLUDER®, and designs are trademarks of W. L. Gore & Associates. © 2011 W. L. Gore & Associates, Inc.

C3 EXCLUDER - THE NEW DEPLOYMENT SYSTEMRECAPTURING AND REPOSITIONING

• THE EXCLUDER DEVICE REMAINS UNCHANGED• THREE STEP DEPLOYMENT MANEUVRES

• PERFECT FINAL POSITION WITHREGARD TO THE RENAL ARTERIES• HIHIHEASY CATHETERISATION OF THE CONTRALATERAL GATE

Initial Deployment

The same familiar cord deployment mechanism fully releases the proximal end of the device to the contralateral gate, engaging the aorta.

Products listed may not be available in all markets. GORE®, EXCLUDER®, and designs are trademarks of W. L. Gore & Associates. © 2011 W. L. Gore & Associates, Inc.

Constrain to Enable Repositioning

• slowly constrain the proximal end / anchors

• reposition the trunk • slowly re-open to engage

the proximal anchors

Products listed may not be available in all markets. GORE®, C3, EXCLUDER®, and designs are trademarks of W. L. Gore & Associates. © 2011 W. L. Gore & Associates, Inc.

The option to reposition up to two times:

Compared to “single-shot” deployment systems, the GORE® C3 Delivery System provides more opportunities to precisely place the device.