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Proven procedural and clinical success*

≤ 30% residual stenosis due to high radial strength, even in highly calcified and non-compliant lesions.

100%

restoration of lumen diameter1

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Before and after x-ray
The Gore VBX FLEX Clinical Study is a prospective, multicenter, single arm study of 134 patients with complex aortoiliac occlusive disease (32.1% TASC II C and D, 42.5% kissing stent).  

In the study, 234 devices were delivered; 50% bilateral treatment, 18% contralateral deliveries and predilitation was not required. 

100%

maintenance of stent length1

Median length change was 0 mm, predeployed to final implant

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vbx-graphic-pre-deployment
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vbx-graphic-post-deployment

100%

stent delivery

  • 100% delivery to target lesion with no device dislodgement1
  • 100% stent retention1
  • 100% deployment at the target site

Proven patency and patient benefit*

5-year outcomes

VBX Stent Graft durability through 5 years assessed in a physician-initiated study that enrolled 59 patients from 3 participating centers representative of the VBX FLEX Study cohort. 

Clinically proven results†,2 

89.5%

Primary patency per lesion

96.1%

Primary assisted patency per lesion

89.1%

fTLR per subject

Additional patient benefits versus baseline†,2 

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+.15

Improvement in mean resting ABI (from .76 to .95) [P < .001]
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3x

Improvement in mean WIQ measures

100%

Of evaluated (n = 28) patients improved ≥ 1 Rutherford category from baseline§

3-year outcomes

91.2%

Freedom from target lesion revascularization (fTLR)3
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+.17

Improvement in mean resting ankle-brachial index (ABI) (P < .001, .93 mean ABI)‡,3

92%

Of patients improved ≥ 1 Rutherford category versus baseline3

1-year outcomes

94.5%

Primary patency3

96.1%

Primary patency in TASC C&D lesions at 1 year3

99.5%

Secondary patency3

Publications 


Your resource for current publications and clinical data demonstrating the utility of the GORE® VIABAHN® VBX Balloon Expandable Endoprosthesis in practice. 

/Clinical data

Three-Year Follow-up of Patients With Iliac Occlusive Disease Treated With the Viabahn Balloon-Expandable Endoprosthesis

Panneton JM, Bismuth J, Gray BH, Holden A. Three-year follow-up of patients with iliac occlusive disease treated with the Viabahn Balloon-Expandable Endoprosthesis. Journal of Endovascular Therapy 2020;27(5):1-9.
/Clinical data

Pivotal Study of a Next-Generation Balloon-Expandable Stent-Graft for Treatment of Iliac Occlusive Disease

Bismuth J, Gray BH, Holden A, Metzger C, Panneton J; VBX FLEX Study Investigators. Pivotal study of a next-generation balloon-expandable stent-graft for treatment of iliac occlusive disease. Journal of Endovascular Therapy 2017;24(5):629-637.
/Clinical data

First-in-Human Experience With the Gore Balloon-Expandable Covered Endoprosthesis in Iliac Artery Occlusive Disease

Holden A, Merrilees S, Buckley B, Connor B, Colgan F, Hill A. First-in-human experience with the Gore Balloon-Expandable Covered Endoprosthesis in iliac artery occlusive disease. Journal of Endovascular Therapy 2017;24(1):11-18.

* Based on prior clinical data. New evaluation of reduced profile delivery is underway.

Across indications and configurations of covered stents.

(P < .001) Statistically significant change from pre-procedure.

§ 59 subjects participated and 28 were available through the end of the study at 5-year follow-up.

  1. Bismuth J, Gray BH, Holden A, et al; VBX FLEX Study Investigators. Pivotal study of a next-generation balloon-expandable stent-graft for treatment of iliac occlusive disease. Journal of Endovascular Therapy 2017;24(5):629-637.  http://journals.sagepub.com/doi/full/10.1177/1526602817720463
  2. Holden A, Takele E, Hill A, et al. Long-Term Follow-up of Subjects With Iliac Occlusive Disease Treated With the Viabahn VBX Balloon-Expandable Endoprosthesis. Journal of Endovascular Therapy. 2023;0(0). doi:10.1177/15266028231165723
  3. Panneton JM, Bismuth J, Gray BH, Holden A. Three-year follow-up of patients with iliac occlusive disease treated with the Viabahn Balloon-Expandable Endoprosthesis. Journal of Endovascular Therapy 2020;27(5):728-736. https://journals.sagepub.com/doi/10.1177/1526602820920569 
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: The GORE® VIABAHN® VBX Balloon Expandable Endoprosthesis is indicated for the treatment of:

  • De novo or restenotic lesions in the iliac arteries, including lesions at the aortic bifurcation;  
  • De novo or restenotic lesions in the visceral arteries;  
  • Isolated visceral, iliac, and subclavian artery aneurysms; or
  • Traumatic or iatrogenic vessel injuries in arteries that are located in the chest cavity, abdominal cavity, or pelvis (except for aorta, coronary, innominate, carotid, vertebral, and pulmonary arteries).

The GORE® VIABAHN® VBX Balloon Expandable Endoprosthesis is indicated for use as a bridging stent in branched and fenestrated endovascular aortic aneurysm repair with the followingII:

  • Approved for use branched aortic endovascular grafts constructed of polyester fabric, stainless steel stents, and polypropylene suture with branch diameters of 6/8 mm and lengths of 18/21 mm.
  • Approved for use fenestrated aortic endovascular grafts constructed of polyester fabric, stainless steel stents, and fenestrations with polypropylene suture ranging in diameter from 6–8 mm.

CONTRAINDICATIONS: Do not use the GORE® VIABAHN® VBX Balloon Expandable Endoprosthesis in patients with known hypersensitivity to heparin, including those patients who have had a previous incident of Heparin-Induced Thrombocytopenia (HIT) type II. 

II Not applicable to Reduced Profile GORE® VIABAHN® VBX Balloon Expandable Endoprosthesis (BXB catalogue numbers).

Product may not be available in all countries. Please check with your Gore representative for availability.