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Reference List - Gore Medical

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B e s t l e g si n t h e b u s i n e s s<br />

OCCLUSION<br />

KINKING<br />

GORE ® EXCLUDER ®<br />

AAA Endoprosthesis 0.65% 0.43%<br />

Endologix PowerLink ® System 1.96%* 0.52%*<br />

Medtronic Talent<br />

Abdominal Stent Graft 3.12% 1.24%<br />

BEFORE<br />

Medtronic AneuRx<br />

AAAdvantage ® Stent Graft 3.34% 2.42%<br />

Cook Zenith ® AAA<br />

Endovascular Graft 3.42% 2.97%<br />

*Smallest limb = 16 mm<br />

AFTER<br />

P E R F O R M A N C E t h r o u g h d a t a<br />

A PubMed ® search of all EVAR literature since 2001 generated 64 peer-reviewed publications 1 that<br />

report on limb patency and / or limb kinking for EVAR devices and met basic criteria for inclusion in<br />

this meta-analysis. The inclusion criteria for these publications was a minimum of 40 patients and<br />

follow-up of greater than one year.<br />

GORE ® EXCLUDER ® AAA Endoprosthesis limbs provide the flexibility and long-term conformability<br />

that is needed to maintain patency. A unique combination of advanced sinusoidal stent design, ultra<br />

smooth ePTFE graft material, and sutureless attachment between the two enables these limbs to flex<br />

where others may kink.<br />

Limbs crossed or uncrossed – with GORE ® EXCLUDER ® AAA Endoprosthesis you choose the best<br />

option for your procedure and your patient.<br />

1<br />

For the complete list of references, please visit www.goremedical.com/AAAbestlegs.<br />

INDICATIONS FOR USE: Trunk-Ipsilateral Leg Endoprosthesis and Contralateral Leg Endoprosthesis Components. The GORE EXCLUDER ®<br />

AAA Endoprosthesis is intended to exclude the aneurysm from the blood circulation in patients diagnosed with infrarenal abdominal aortic<br />

aneurysm (AAA) disease and who have appropriate anatomy as described below: adequate iliac / femoral access, infrarenal aortic neck<br />

treatment diameter range of 19 – 29 mm and a minimum aortic neck length of 15 mm, proximal aortic neck angulation < 60°, iliac artery<br />

treatment diameter range of 8 – 18.5 mm and iliac distal vessel seal zone length of at least 10 mm. Aortic Extender Endoprosthesis and<br />

Iliac Extender Endoprosthesis Components. The GORE EXCLUDER ® Extender Endoprostheses (Aortic and Iliac) are intended to be used<br />

after deployment of the GORE EXCLUDER ® AAA Endoprosthesis. These extensions are intended to be used when additional length and<br />

/ or sealing for aneurysmal exclusion is desired. Contraindications: There are no known contraindications for these devices. Refer to<br />

Instructions for Use at goremedical.com for a complete description of all warnings, precautions and adverse events.<br />

W. L. <strong>Gore</strong> & Associates, Inc. • Flagstaff, AZ 86004 • goremedical.com<br />

Products listed may not be available in all markets. GORE ® , EXCLUDER ® , PERFORMANCE THROUGH DATA, and designs are trademarks<br />

of W. L. <strong>Gore</strong> & Associates. AneuRx ® AAADAVANTAGE and Talent are trademarks of Medtronic, Inc. PowerLink ® is a trademark of<br />

Endologix, Inc. PubMed ® is a registered trademark of the U.S. National Library of Medicine. Zenith ® is a trademark of Cook <strong>Medical</strong>, Inc.<br />

©2010 W. L. <strong>Gore</strong> & Associates, Inc. AP0395-EN2 JUNE 2010


1. Carpenter JP; Endologix Investigators. Midterm results of the multicenter trial of the Powerlink bifurcated system for endovascular aortic aneurysm repair.<br />

Journal of Vascular Surgery 2004;40(5):849-859.<br />

2. Albertini JN, Lahlou Z, Magnan PE, Branchereau A; French Powerlink Multicenter Trial Investigators. Endovascular repair of abdominal aortic aneurysms<br />

with a unibody stent-graft: 3-year results of the French Powerlink Multicenter Trial. Journal of Endovascular Therapy 2005;12(6):629-637.<br />

3. Qu L, Raithel D. Experience with the Endologix Powerlink Endograft in endovascular repair of abdominal aortic aneurysms with short and angulated necks.<br />

Perspectives in Vascular Surgery & Endovascular Therapy 2008;20(2):158-166.<br />

4. Coppi G, Silingardi R, Tasselli S, Gennai S, Saitta G, Veraldi GF. Endovascular treatment of abdominal aortic aneurysms with the Powerlink Endograft<br />

System: influence of placement on the bifurcation and use of a proximal extension on early and late outcomes. Journal of Vascular Surgery<br />

2008;48(4):795-801.<br />

5. Wang GJ, Carpenter JP; Endologix Investigators. The Powerlink system for endovascular abdominal aortic aneurysm repair: six-year results. Journal of<br />

Vascular Surgery 2008;48(3):535-545.<br />

6. Qu L, Raithel D. From clinical trials to clinical practice: 612 cases treated with the Powerlink stent-graft for endovascular repair of AAA. Journal of<br />

Cardiovascular Surgery 2009;50(2):131-137.<br />

7. Biebl M, Hakaim AG, Oldenburg WA, et al. Midterm results of a single-center experience with commercially available devices for endovascular aneurysm<br />

repair. Mount Sinai Journal of Medicine 2005;72(2):127-135.<br />

8. Parra JR, Crabtree T, McLafferty RB, et al. Anesthesia technique and outcomes of endovascular aneurysm repair. Annals of Vascular Surgery<br />

2005;19(1):123-129.<br />

9. van Marrewijk CJ, Leurs LJ, Vallabhaneni SR, Harris PL, Buth J, Laheij RJF; EUROSTAR collaborators. Risk-adjusted outcome analysis of endovascular<br />

abdominal aortic aneurysm repair in a large population: how do stent-grafts compare? Journal of Endovascular Therapy 2005;12(4):417-429.<br />

10. van Herwaarden JA, van de Pavoordt EDWM, Waasdorp EJ, et al. Long-term single-center results with AneuRx endografts for endovascular abdominal aortic<br />

aneurysm repair. Journal of Endovascular Therapy 2007;14(3):307-317.<br />

11. Smith S, Mountcastle S, Burridge A, et al. A single-institution experience with the AneuRx Stent Graft for endovascular repair of abdominal aortic<br />

aneurysm. Annals of Vascular Surgery 2008;22(2):221-226.<br />

12. Abbruzzese TA, Kwolek CJ, Brewster DC, et al. Outcomes following endovascular abdominal aortic aneurysm repair (EVAR): an anatomic and device-specific<br />

analysis. Journal of Vascular Surgery 2008;48(1):19-28.<br />

13. Noll RE Jr, Tonnessen BH, Kim J, Money SR, Sternbergh WC III. Long-term postplacement cost comparison of AneuRx and Zenith endografts. Annals of<br />

Vascular Surgery 2008;22(6):710-715.<br />

14. AbuRahma AF, Stone PA, Bates MC, Khan TN, Prigozen JM, Welch CA. Endovascular repair of abdominal aortic aneurysms using 3 commercially available<br />

devices: midterm results. Journal of Endovascular Therapy 2004;11(6):641-648.<br />

15. Peterson BG, Matsumura JS, Brewster DC, Makaroun MS. Five-year report of a multicenter controlled clinical trial of open versus endovascular treatment of<br />

abdominal aortic aneurysms. Journal of Vascular Surgery 2007;45(5):885-890.<br />

16. Haider SE, Najjar SF, Cho J-S, et al. Sac behavior after aneurysm treatment with the <strong>Gore</strong> Excluder low-permeability aortic endoprosthesis: 12-month<br />

comparison to the original Excluder device. Journal of Vascular Surgery 2006;44(4):694-700.<br />

17. Bos WT, Tielliu IF, Sondakh AO, Vourliotakis G, Bracale UM, Verhoeven EL. Hybrid endograft solution for complex iliac anatomy: zenith body and excluder<br />

limbs. Vascular 2010;18(3):136-140.<br />

18. Mendonça CT, de Carvalho CA, Weingärtner J, et al. Endovascular treatment of abdominal aortic aneurysms in high-surgical-risk patients using<br />

commercially available stent-grafts. Journal of Endovascular Therapy 2010;17(1):89-94.<br />

19. Maleux G, Koolen M, Heye S, Nevelsteen A. Limb occlusion after endovascular repair of abdominal aortic aneurysms with supported endografts. Journal of<br />

Vascular & Interventional Radiology 2008;19(10):1409-1412.<br />

20. Van Bindsbergen L, Dolmans DEJGJ, Greenen GPJ, et al. Endovascular aneurysm repair with Zenith ® graft. Complications caused by leg extensions. Journal<br />

of Cardiovascular Surgery 2008;49(3):311-316.<br />

21. Sivamurthy N, Schneider DB, Reilly LM, Rapp JH, Skovobogatvy H, Chuter TAM. Adjunctive primary stenting of Zenith endograft limbs during endovascular<br />

abdominal aortic aneurysm repair: Implications for limb patency. Journal of Vascular Surgery 2006;43(4):662-670.<br />

22. Cochennec F, Becquemin JP, Desgranges P, Allaire E, Kobeiter H, Roudot-Thorval F. Limb graft occlusion following EVAR: clinical pattern, outcomes and<br />

predictive factors of occurrence. European Journal of Vascular & Endovascular Surgery 2007;34(1):59-65.<br />

23. Becquemin JP, Aksoy M, Marzelle J, et al. Abdominal aortic aneurysm sac behavior following Cook Zenith graft implantation: a five-year follow-up<br />

assessment of 212 cases. Journal of Cardiovascular Surgery 2008;49(2):199-206.<br />

24. Hugl B, Hakaim AG, Biebl M, et al; Zenith Investigators. Impact of gender on the outcome of endovascular aortic aneurysm repair using the Zenith stentgraft:<br />

midterm results. Journal of Endovascular Therapy 2007;14(2):115-121.<br />

25. McDonnell CO, Semmens JB, Allen YB, Jansen SJ, Brooks DM, Lawrence-Brown MM. Large iliac arteries: a high-risk group for endovascular aortic aneurysm<br />

repair. Journal of Endovascular Therapy 2007;14(5):625-629.<br />

26. Lalka S, Dalsing M, Cikrit D, et al. Secondary interventions after endovascular abdominal aortic aneurysm repair. The American Journal of Surgery<br />

2005;190(5):787-794.<br />

27. Greenberg RK, Chuter TAM, Sternbergh WC III, Fearnot NE. Zenith AAA endovascular graft: intermediate-term results of the US multicenter trial. Journal of<br />

Vascular Surgery 2004;39(6):1209-1218.<br />

28. Bos WTGJ, Tielliu IFJ, van den Dungen JJAM, et al. Results of endovascular abdominal aortic aneurysm repair with selective use of the <strong>Gore</strong> Excluder. Journal<br />

of Cardiovascular Surgery 2009;50(2):159-164.<br />

29. Oshin OA, Fisher RK, Williams LA, et al. Adjunctive iliac stents reduce the risk of stent-graft limb occlusion following endovascular aneurysm repair with the<br />

Zenith stent-graft. Journal of Endovascular Therapy 2010;17(1):108-114.<br />

30. Jean-Baptiste E, Batt M, Azzaoui R, Koussa M, Hassen-Khodja R, Haulon S. A comparison of the mid-term results following the use of bifurcated and aortouni-iliac<br />

devices in the treatment of abdominal aortic aneurysms. European Journal of Vascular & Endovascular Surgery 2009;38(3):298-304.<br />

31. Hingorani AP, Ascher E, Marks N, et al. Iatrogenic injuries of the common femoral artery (CFA) and external iliac artery (EIA) during endograft placement: an<br />

underdiagnosed entity. Journal of Vascular Surgery 2009;50(3):505-509.<br />

32. Coppi G, Silingardi R, Saitta G, Gennai S. Single-center experience with the Talent LPS endograft in patients with at least 5 years of follow-up. Journal of<br />

Endovascular Therapy 2008;15(1):23-32.<br />

33. Seriki DM, Ashleigh RJ, Butterfield JS, et al. Midterm follow-up of a single-center experience of endovascular repair of abdominal aortic aneurysms with use<br />

of the Talent stent-graft. Journal of Vascular & Interventional Radiology 2006;17(6):973-977.<br />

34. Torsello G, Osada N, Florek H-J, et al. Long-term outcome after Talent endograft implantation for aneurysms of the abdominal aorta: a multicenter<br />

retrospective study. Journal of Vascular Surgery 2006;43(2):277-284.<br />

35. England A, Butterfield JS, McCollum CN, Ashleigh RJ. Endovascular aortic aneurysm repair with the talent stent-graft: outcomes in patients with large iliac<br />

arteries. Cardiovascular & Interventional Radiology 2008;31(4):723-727.


36. Wales L, Dunckley M, Bohm N, et al. Device-specific outcomes following endovascular aortic aneurysm repair. European Journal of Vascular &<br />

Endovascular Surgery 2008;36(6):661-667.<br />

37. Saratzis N, Antonitsis P, Melas N, et al. Midterm results of endovascular abdominal aortic aneurysm repair with Talent stent graft in a single center.<br />

International Angiology 2006;25(2):197-203.<br />

38. Turnbull IC, Criado FJ, Sanchez L, et al. Five-year results for the Talent enhanced Low Profile System abdominal stent graft pivotal trial including early and<br />

long-term safety and efficacy. Journal of Vascular Surgery 2010;51(3):537-544.<br />

39. Pitton MB, Scheschkowski T, Ring M, et al. Ten-year follow-up of endovascular aneurysm treatment with Talent stent-grafts. Cardiovascular &<br />

Interventional Radiology 2009;32(5):906-917.<br />

40. Espinosa G, Ribeiro Alves M, Ferreira Caramalho M, Dzieciuchowicz L, Santos SR. A 10-year single-center prospective study of endovascular abdominal<br />

aortic aneurysm repair with the Talent Stent-Graft. Journal of Endovascular Therapy 2008;16(2):125-135.<br />

41. Cao P, De Rango P, Parlani G, Verzini F; Talent Unidoc Retrospective Italian Study (TAURIS) Group. Durability of abdominal aortic endograft with the Talent<br />

Unidoc stent graft in common practice: core lab reanalysis from the TAURIS multicenter study. Journal of Vascular Surgery 2009;49(4):859-865.<br />

42. Holst J, Resch T, Ivancev K, et al. Early and intermediate outcome of emergency endovascular aneurysm repair of ruptured infrarenal aortic aneurysm: a<br />

single-centre experience of 90 consecutive patients. European Journal of Vascular & Endovascular Surgery 2009;37(4):413-419.<br />

43. Brown LC, Greenhalgh RM, Kwong GP, Powell JT, Thompson SG, Wyatt MG ; EVAR Trial Participants. Secondary interventions and mortality following<br />

endovascular aortic aneurysm repair: device-specific results from the UK EVAR Trials. European Journal of Vascular & Endovascular Surgery<br />

2007;34(3):281-290.<br />

44. Hiramoto JS, Reilly LM, Schneider DB, Sivamurthy N, Rapp JH, Chuter TA. Long-term outcome and reintervention after endovascular abdominal aortic<br />

aneurysm repair using the Zenith stent graft. Journal of Vascular Surgery 2007;45(3):461-466.<br />

45. Timaran CH, Lipsitz EC, Veith FJ, et al; Zenith Investigators. Endovascular aortic aneurysm repair with the Zenith endograft in patients with ectatic iliac<br />

arteries. Annals of Vascular Surgery 2005;19(2):161-166.<br />

46. Verhoeven ELG, Tielliu FJ, Prins TR, et al. Frequency and outcome of re-interventions after endovascular repair for abdominal aortic aneurysm: a prospective<br />

cohort study. European Journal of Endovascular Surgery 2004;28(4):357-364.<br />

47. Carroccio A, Faries PL, Morrissey NJ, et al. Predicting iliac limb occlusions after bifurcated aortic stent grafting: anatomic and device-related causes.<br />

Journal of Vascular Surgery 2002;36(4):679-684.<br />

48. F lora HS, Chaloner EJ, Sweeney A, Brookes J, Raphael MJ, Adiseshiah M. Secondary intervention following endovascular repair of abdominal aortic<br />

aneurysm: a single centre experience. European Journal of Vascular & Endovascular Surgery 2003;26(3):287-292.<br />

49. Dias NV, Ivancev K, Malina M, Resch T, Lindblad B, Sonesson B. Does the wide application of endovascular AAA repair affect the results of open surgery?<br />

European Journal of Vascular & Endovascular Surgery 2005;26(2):188-194.<br />

50. Abraham C, Chuter TAM, Reilly LM, et al. Abdominal aortic aneurysm repair with the Zenith stent graft: short to midterm results. Journal of Vascular<br />

Surgery 2002;36(2):217-225.<br />

51. Goodman M, Lawrence-Brown MM, Hartley D, Allen YB, Semmens JB. Treatment of infrarenal abdominal aortic aneurysms with oversized (36-mm) Zenith<br />

endografts. Journal of Endovascular Therapy 2007;14(1):23-29.<br />

52. Stanley BM, Semmens JB, Mai Q, et al. Evaluation of patient selection guidelines for endoluminal AAA repair with the Zenith Stent-Graft: the Australasian<br />

experience. Journal of Endovascular Therapy 2001;8(5):457-464.<br />

53. Alric P, Hinchliffe RJ, MacSweeney STR, Wenham PW, Whitaker SC, Hopkinson BR. The Zenith aortic stent-graft: a 5-year single-center experience. Journal<br />

of Endovascular Therapy 2002;9(6):719-728.<br />

54. Hugl B, Hakaim AG, Biebl M, et al; Zenith Investigators. Impact of gender on the outcome of endovascular aortic aneurysm repair using the Zenith stentgraft:<br />

midterm results. Journal of Endovascular Therapy 2007;14(2):115-121.<br />

55. Pfammatter T, Lachat ML, Künzli A, et al. Short-term results of endovascular AAA repair with the Excluder Bifurcated Stent-Graft. Journal of Endovascular<br />

Therapy 2002;9(4):474-480.<br />

56. Maynar M, Zander T, Qian Z, et al. Bifurcated endoprosthesis for treatment of aortoiliac occlusive lesions. Journal of Endovascular Therapy<br />

2005;12(1):22-27.<br />

57. Shames ML, Sanchez LA, Rubin BG, et al. Delayed complications after endovascular AAA repair in women. Journal of Endovascular Therapy<br />

2003;10(1):10-15.<br />

58. Arko FR, Hill BB, Olcott C, Harris EJ Jr, Fogarty TJ, Zarins CK. Endovascular repair reduces early and late morbidity compared to open surgery for abdominal<br />

aortic aneurysm. Journal of Endovascular Therapy 2002;9(6):711-718.<br />

59. Slovut DP, Ofstein LC, Bacharach JM. Endoluminal AAA repair using intravascular ultrasound for graft planning and deployment: a 2-year community-based<br />

experience. Journal of Endovascular Therapy 2003;10(3):463-475.<br />

60. Ramaiah VG, Westerband A, Thompson C, et al. The AneuRx stent-graft since FDA approval: single-center experience of 230 cases. Journal of Endovascular<br />

Therapy 2002;9(4):464-469.<br />

61. Tonnessen BH, Conners MS III, Sternbergh WC III, Carter G, Yoselevitz M, Money SR. Mid-term results of patients undergoing endovascular aortic aneurysm<br />

repair. American Journal of Surgery 2002;184(6):561-567.<br />

62. Nordness PJ, Carter G, Tonnessen B, Charles Sternbergh W III, Money SR. The effect of gender on early and intermediate results of endovascular aneurysm<br />

repair. Annals of Vascular Surgery 2003;17(6):615-621.<br />

63. Ayerdi J, McLafferty RB, Markwell SJ, et al. Indications and outcomes of AneuRx Phase III trial versus use of commercial AneuRx stent graft. Journal of<br />

Vascular Surgery 2003;37(4):739-743.<br />

64. Zarins CK, Shaver DM, Arko FR, Schubart PJ, Lengle SJ, Dixon SM. Introduction of endovascular aneurysm repair into community practice: initial results with<br />

a new Food and Drug Administration-approved device. Journal of Vascular Surgery 2002;36(2):226-233.<br />

W. L. <strong>Gore</strong> & Associates, Inc.<br />

Flagstaff, AZ 86004<br />

+65.67332882 (Asia Pacific)<br />

00800.6334.4673 (Europe)<br />

800.437.8181 (United States)<br />

928.779.2771 (United States)<br />

goremedical.com<br />

Products listed may not be available in all markets.<br />

GORE ® , EXCLUDER ® , and designs are trademarks of W. L. GORE & Associates.<br />

© 2010 W. L. GORE & Associates, Inc. AP0692-EN1 AUGUST 2010

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