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