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Deployment Finesse of the Gore Excluder Stent Graft 

Deployment Finesse of the Gore Excluder Stent Graft
Chapter:
Deployment Finesse of the Gore Excluder Stent Graft
Author(s):

S. Lowell Kahn

, and Sergio Rojas

DOI:
10.1093/med/9780199986071.003.0002
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date: 25 November 2020

The Gore Excluder stent graft was approved for use in the United States by the US Food and Drug Administration (FDA) in 2002. The Excluder is a modular, bifurcated endoprosthesis utilized in the treatment of abdominal aortic aneurysms. The Excluder endoprosthesis is constructed from an expanded polytetrafluoroethylene film and an incorporated “weldless” nickel–titanium stent skeleton for support. The device features no sutures, infrarenal fixation, and is made to be inserted through 12–18 Fr introducer sheaths. Since its approval by the FDA, the Excluder has undergone multiple changes, including profile reductions, the addition of an impermeable membrane (due to early graft material design associated with type IV endoleaks), and, most notably, a repositioning mechanism labeled the C3 Excluder. This chapter discusses multiple techniques of deployment of the Gore Excluder stent graft.

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