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SOFTWARE TO HELP CHOOSING AN INFRA RENAL ABDOMINAL AORTIC ANEURYSM ENDOPROTESE
Guilherme V Meirelles, Renam Alexandrino - Instituto Meirelles de Cirurgia Vascular- NO CONFLICT OF INTEREST. - NO INDUSTRY SPONSOR
COMPARING THE MEASUREMENTS PROVIDE BY THE SURGEONS, WITH
• INDUSTRY IFU
• ENDOPROTESES SIZE OPTIONS (DIAMETER AND LENGTH )
RESULTING IN HOW MUCH OUR CHOICE IS AVAILABLE AND IN SIDE IFU
• ANEURYSM NECK
• ANGEL - DIAMETER - LENGTH (CLOTH - CALCIFICATION – NECK
SHAPE)
• DISTANCE FROM INFRA RENAL TO AORTIC BIFURCATION
• DISTAL AORTA DIAMETER
• COMMON ILIAC ARTERY
• DIAMETER - LENGTH
• ACCESS - EXTERNAL ILIAC DIAMETER and tortuosity
m
m m
m
m
mm
m
m
m
m
m
m
m
m
m
5 POINTS OF MEASUREMENTS
I F U FOR STENT
GRAFTS
NECK ANGLE NECK LENGTH
AORFIX ≤ 90o ≥ 15 mm
INCRAFT
E - TEGRA
≤ 60o
≤ 75o
≥ 10 mm
≥ 15 mm
ENDURANT < 60o
≤ 75o
≥ 10 mm≥ 15 mm
POWERLINK / AFX ≤ 60o ≥ 15 mm
EXCLUDER / C3
HERCULES
≤ 60o
≤ 60o
≥ 15 mm ≥ 10 mm
ZENITH
BRAILE / LINUS
≤ 60o
≤ 60o
≥ 15 mm
≥ 15 mm
ANACONDAORTIC
≤ 90o
≤ 60o
≥ 15 mm ≥ 15 mm
TRIOVANCE < 60o
≤ 75o
≥ 10 mm≥ 15 mm
OVATIONat 13 mm - ≥ 16mm to ≤ 30mm
≤ 45o
≤ 60o
< 10 mm≥ 10 mm
I F U FOR
STENT
GRAFTS
ENDOPROTESE
MAIN BODY LENGTH
BIFURCATION
DIAMETER
AORFIX 81 mm ≥ 18 mm
INCRAFT
E-TEGRA
86 mm
80 to 100 mm
≥ 18 mm
≥ 18 mm
ENDURANT 70 mm (23)- 80 mm ≥ 18 mm
AFX 60 mm (+10mm) ≥ 15 mm
C3
HERCULES
70–80 / 90 mm (31-35)
80 mm
≥ 18 mm
≥ 18 mm
ZENITH alfa
BRAILE /
LINUS
70 to 128 mm
75 mm
≥ 18 mm
≥ 18 mm
ANACONDA
ORTIC
77 mm
80 mm
≥ 18 mm
≥ 19 mm
TRIOVANCE
OVATION
80 - 120mm
80 mm
Extensions DiameterX 0.7
≥ 18 mm
DIAMETER
MIM 7 MM
MAX 25 MM
LENGTH FIXATION
MIN ≥ 10 MM
MAX NEED >20 MM
COMMON ILIAC ARTERY ACCESS
EXTERNAL ILIAC
DIAMETER
consider
≥ 4.7 mm until 30mm CALCIFICATION
≥ 5.3 mm >34mm CLOTH
TORTUOSITY
( APPROXIMATE 45 OPTIONS FOR EACH
COMPANY )
OFF LABEL
10,000 to 20,000
I F U AORTA
NECK
DIAMETER
min
AORTA NECK
DIAMETER
max
AORFIX 19 mm 29 mm
INCRAFT
E-TEGRA
17 mm
19 mm
31 mm
32 mm
ENDURANT 19 mm 32 mm
POWERLINK / AFX
18 mm 32 mm
Gore C3
HERCULES
19 mm
17 mm
32 mm
30 mm
ZENITH ALPHA
BRAILE / LINUS
18 mm
19 mm
32 mm
29 mm
ANACONDAORTIC
16 mm20 mm
31 mm 32 mm
TRIOVANCE 16 mm 32 mm
OVATION at 13 mm renal
16 mm < 30mm
Recommended