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The Gore Excluder endograft device for the treatment of abdominal aortic aneurysms

S Sayeed1, L K Marone, M S Makaroun

  • 1Division of Vascular Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA 15213, USA.

The Journal of Cardiovascular Surgery
|June 9, 2006
PubMed

Insights

The Gore Excluder endograft offers a favorable alternative to open surgical repair for abdominal aortic aneurysms, with a history of clinical use since 1998. This review summarizes its effectiveness and application in endovascular aneurysm repair.

Area of Science:

  • Vascular Surgery
  • Endovascular Techniques
  • Medical Device Technology

Background:

  • Open surgical repair of abdominal aortic aneurysms (AAA) is a long-established procedure.
  • Despite advancements, open AAA repair remains associated with significant complications.
  • Endovascular aneurysm repair (EVAR) has emerged as an alternative treatment modality.

Purpose of the Study:

  • To review the clinical use of the Gore Excluder endograft.
  • To trace the device's history from its initial clinical trial to its current commercial status.
  • To evaluate the Excluder endograft's performance in AAA treatment.

Main Methods:

  • Review of clinical trial data and commercial use of the Gore Excluder endograft.
  • Comparison of endovascular repair with open surgical repair for AAAs.
  • Analysis of outcomes and complications associated with the Excluder endograft.

Main Results:

  • The Gore Excluder endograft is a third-generation device approved in the United States.
  • Multiple trials have compared the Excluder endograft to open repair, demonstrating favorable outcomes.
  • The device has been in clinical use since its initial trial in 1998.

Conclusions:

  • The Gore Excluder endograft represents a significant advancement in AAA treatment.
  • Endovascular repair with the Excluder device offers a viable alternative to open surgery.
  • Continued evaluation of long-term outcomes is essential for optimizing EVAR strategies.
Abstract

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