Sustaining quality of life

Hypogastric artery preservation is the recommended treatment1,2 to sustain quality of life. When determining which preservation method is best, A. L. W. A. Y. S.3,4 consider each patient’s:

  • Activity level
  • Length
  • Width
  • Aortic disease
  • Young
  • Seal
pre-treatment
after hypogastric artery preservation

Pre-treatment

5-year follow-up; first clinical use

Images courtesy of Brian Peterson, M.D. St. Anthony’s Medical Center; St. Louis, Missouri.

    Hypogastric artery preservation: A.L.W.A.Y.S. provides a simple way to ensure key considerations are included in your decision. 

    The information provided is intended to be general guidance based on current medical practices in the field. The steps described here may not be complete and are not intended to be a replacement for the Instructions for Use (IFU) or the education, training and professional judgment of health care providers (HCPs). Licensed HCPs remain responsible for making decisions about patient care and the use of medical technologies.

    A story of preservation

    A patient and his physician talk about the treatment options and considerations specific to his active lifestyle.

     

      The content of this video is intended for informational use only and is not intended to be a substitute for professional medical diagnosis, care or therapy. The patient story and outcomes presented here are specific to the particular patient. Individual responses to medical care may vary from patient to patient.

      1. Chaikof EL, Dalman RL, Eskandari MK, et al. The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm. Journal of Vascular Surgery 2018;67(1):2-77.e2. 
      2. Moll FL, Powell JT, Fraedrich G, et al. Management of abdominal aortic aneurysms clinical practice guidelines of the European Society for Vascular Surgery. European Journal of Vascular & Endovascular Surgery 2011;41(Supplement 1):S1-S58.  
      3. Million A, Milner R, Oderich GS, Schneider DB, Spark I, Verzini F. Expert discussion: when to preserve  the hypogastric artery. Endovascular Today 2017;16(8)Supplement:6-11.  
      4. Schneider DB, Milner R, Heyligers JMM, Chakfé N, Matsumura J. Outcomes of the GORE Iliac Branch Endoprosthesis in clinical trial and real-world registry settings. Journal of Vascular Surgery 2019;69(2):367-377.e1.
      IFU Consult instructions

      Refer to Instructions for Use at eifu.goremedical.com for a complete description of all applicable indications, warnings, precautions and contraindications for the markets where this product is available. RXOnly

      INDICATIONS FOR USE IN EUROPE:

      GORE® EXCLUDER® Iliac Branch Endoprosthesis (IBE)  

      INDICATIONS FOR USE IN EUROPE:  

      Iliac Branch and Internal Iliac Components.  

      The GORE® EXCLUDER® Iliac Branch Endoprosthesis (IBE) is intended to isolate the common iliac artery from systemic blood flow and preserve blood flow in the external iliac and internal iliac arteries in patients with a common iliac or aortoiliac aneurysm, who have appropriate anatomy, including:  

      1. Adequate iliac / femoral access  
      2. Minimum common iliac diameter of 17 mm at the proximal implantation zone of the IBE  
      3. External iliac artery treatment diameter range of 6.5–25 mm and seal zone length of at least 10 mm  
      4. Internal iliac artery treatment diameter range of 6.5–13.5 mm and seal zone length of at least 10 mm  

      Trunk-Ipsilateral Leg and Contralateral Leg Endoprosthesis Components  

      The Trunk-Ipsilateral Leg and Contralateral Leg Endoprostheses are intended to provide proximal seal and fixation to the GORE® EXCLUDER® Iliac Branch Endoprosthesis following deployment of the GORE® EXCLUDER® Iliac Branch Endoprosthesis. For more information on the Trunk-Ipsilateral Leg and Contralateral Leg Endoprosthesis Component indications for use and deployment, see the GORE® EXCLUDER® AAA Endoprosthesis and GORE® EXCLUDER® Conformable Endoprosthesis Instructions For Use.  

      Aortic Extender Endoprosthesis and Iliac Extender Endoprosthesis Components  

      The Aortic and Iliac Extender Endoprostheses can be used after deployment of the GORE® EXCLUDER® Iliac Branch and AAA Endoprostheses. These extensions are used when additional length and / or sealing for aneurysmal exclusion is desired. For more information on Aortic Extender and Iliac Extender indications for use and deployment, see the GORE® EXCLUDER® AAA Endoprosthesis and GORE® EXCLUDER® Conformable Endoprosthesis Instructions For Use  

      CONTRAINDICATIONS:  

      The GORE® EXCLUDER® Iliac Branch Endoprosthesis is contraindicated in:  

      • Patients with known sensitivities or allergies to the device materials.  
      • Patients with a systemic infection who may be at increased risk of endovascular graft infection. 
      Product may not be available in all countries. Please check with your Gore representative for availability. 
      25AR2035-EN01