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Related Concept Videos

Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...

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Related Experiment Video

Updated: Jul 4, 2026

Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm
04:56

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Published on: August 1, 2025

The excluder aortic endograft.

Daniel M Alterman1, Scott L Stevens

  • 1Department of Surgery, University of Tennessee Medical Center, Knoxville, Tennessee 37920-6999, USA.

Perspectives in Vascular Surgery and Endovascular Therapy
|June 19, 2008
PubMed
Summary
This summary is machine-generated.

The Gore Excluder endoprosthesis has treated over 59,000 patients for abdominal aortic aneurysms (AAA) with low complication rates. This device offers excellent usability and market dominance in AAA treatment.

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Last Updated: Jul 4, 2026

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Area of Science:

  • Vascular Surgery
  • Medical Devices
  • Endovascular Interventions

Background:

  • The Gore Excluder endoprosthesis has been used in over 59,000 patients for abdominal aortic aneurysm (AAA) treatment over 11 years.
  • Device design and delivery impact anatomical suitability and aneurysm sac behavior, with graft dependence becoming evident.
  • Low-permeability GORE devices address endotension issues observed with earlier designs.

Observation:

  • Cumulative data indicate very low perioperative morbidity and mortality.
  • The GORE device provides excellent protection against aneurysm-related complications.
  • Key characteristics include superior ease of use, excellent trackability, and infrequent need for open conversion.

Findings:

  • The GORE device demonstrates a strong safety and efficacy profile in AAA treatment.
  • Long-term data suggest graft dependence influences aneurysm sac behavior.
  • Low-permeability designs have improved upon previous endotension-related issues.

Implications:

  • The GORE device's advantages have led to its market dominance in the US for AAA endografting.
  • Understanding device-specific anatomical considerations is crucial for optimal patient outcomes.
  • Continued research and development aim to further refine endovascular AAA treatment strategies.