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Improvements to large diameter devices include accessibility through smaller sheaths while providing enhanced visualization under fluoroscopy.
October 29, 2020
By: Michael Barbella
Managing Editor
As part of efforts to continuously improve medical solutions for patients with complex vascular disease, W. L. Gore & Associates Inc. (Gore) announced the U.S. launch of the lower profile, large diameter GORE VIABAHN Endoprosthesis. Gore previously received approval from the U.S. Food & Drug Administration (FDA) for the enhanced GORE VIABAHN Endoprosthesis. This approval builds on a market-leading device with more on-label applications than any other self-expanding stent graft,* which has become an important tool for treating complex vascular disease. “With broad clinical indications for use and numerous product improvements, the VIABAHN Device continues to be a dependable choice that demonstrates positive results in patients with complex vascular disease,” said Amit J. Dwivedi, M.D., associate professor of Surgery and Chief of the Division of Vascular Surgery and Endovascular Therapeutics at the University of Louisville, who has implanted the lower profile device in complex arterial anatomy. “Older patients with co-morbidities such as hypertension, diabetes and obesity may benefit from a less invasive endoluminal approach versus surgical bypass. These latest enhancements, including a lower profile, provide physicians with additional options for treating these patients.” This VIABAHN Device design reduces the delivery profile for larger 9–13 mm diameter stent grafts by up to 3 Fr, enabling delivery through smaller sheaths. Smaller introducer sheaths have resulted in a lower risk of vascular access complications in select patient populations.1 Additionally, new radiopaque markers on the distal and proximal ends enhance visualization under fluoroscopy, facilitating positioning and device delivery, as well as precise and predictable placement. “In addition to the radiopaque markers that facilitate positioning and deployment, the new lower profile enables use of a smaller sheath, potentially reducing the risk of damage at the access site,” said Yevgeniy (Eugene) Rits, M.D., chief and program director of Vascular Surgery at Wayne State University and Detroit Medical Center and Director of the Dialysis Access Center and Vascular Lab at Harper University Hospital. “Combined with the trackability and flexibility I’ve always trusted with VIABAHN Devices, this new lower profile offering will become very instrumental in my dialysis access practice.” “The story of the GORE VIABAHN Endoprosthesis is a story of physician collaboration across four patient-centric indications, and of proving performance over and over,” said Benjamin Beckstead, Gore Vascular Category leader. “And it is a story of teamwork, continual improvement and lifelong innovation that continues today: partnering with physicians to solve tough challenges where there is a critical patient need, driven by our relentless inspiration to innovate today through a purposeful approach to developing solutions for tomorrow.” Since its U.S. launch in 2002, the device has evolved with numerous enhancements and supported hundreds of thousands of patients worldwide. Currently, the VIABAHN Device is indicated for use in superficial femoral artery (SFA) lesions, iliac lesions, in-stent restenosis of SFA lesions and in stenosis or thrombotic occlusion at the venous anastomosis of synthetic arteriovenous access grafts for hemodialysis. *Based on Millennium Research Group, Inc. data, reflecting unit and revenue share. Reference 1 Applegate RJ, Sacrinty MT, Kutcher MA, et al. Trends in vascular complications after diagnostic cardiac catheterization and percutaneous coronary intervention via the femoral artery, 1998 to 2007. JACC: Cardiovascular Interventions 2008;1(3):317-326.
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