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The Gore VBX stent graft (Gore Medical, Flagstaff, Ariz) provides a new option for branching of fenestrated aortic endografts. However, its modular stent structure has raised concerns about potential kinking at the interspace between stent rings if lateralizing force exists between the fenestration and target vessel orifice. We present a case of near-occlusion of a VBX celiac branch due to narrowing of this interspace identified at postoperative month 3. Although the Gore VBX offers several potential advantages as a branch endoprosthesis, its design poses the risk of unpredictable, delayed-onset kinking and raises concern for its use as a fenestrated endograft branch.
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http://dx.doi.org/10.1016/j.jvscit.2018.08.011 | DOI Listing |
Vasa
June 2025
Vascular Surgery, Medical Faculty, University of Augsburg, Germany.
Endovascular treatments in emergency or bailout situations focusing on anatomical regions with high extension and flexion movement remain a key area of interest. To date, the main field of application of the GORE VIABAHN VBX Balloon Expandable Endoprosthesis (VBX) (Gore, USA) has been in complex iliac occlusions and aortic pathologies. This retrospective study aimed to assess the safety and effectiveness of the VBX in a real-world patient population at a single centre, focusing on anatomical regions under high mechanical stress.
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December 2024
Division of Cardiology and Interventional Cardiology, MedStar Health: Heart and Vascular Institute at MedStar Washington Hospital Center, Washington, DC, USA.
J Endovasc Ther
November 2024
Department of Surgery, Amsterdam University Medical Centers, Location Vrije Universiteit, Amsterdam, The Netherlands.
Ann Pediatr Cardiol
October 2024
Department of Pediatrics, Division of Pediatric Cardiology, University of Minnesota Masonic Children's Hospital, Minneapolis, MN, USA.
J Endovasc Ther
October 2024
Department of Vascular and Endovascular Surgery, Cardiovascular Institute Hospital Clínic, University of Barcelona, Barcelona, Spain.