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Custom Arch Fenestrated and Multi-Feature


Maximise the seal

Key features

  • Internal sealing stents are intended to maximise fabric-to-wall apposition for a more durable seal.
  • Fenestrations, scallops, and branches are tailored to suit unique anatomies with a combination of fenestrations, scallops, and branches for optimal design flexibility.
  • The pre-curved delivery system conforms to the anatomy with controlled, precise deployment designed to ensure the device stays in position without rotating. It intuitively adapts to the curved arch for reliable orientation and ease of use.
  • The low-profile fabric design allows the device to typically load into a 22 Fr* system for a smooth introduction.
  • Devices are available with or without fixation, tailored for disease-specific treatment to optimise outcomes across pathologies.

Clinical advantages of Custom Arch Fenestrated and Multi-Feature

  • technical success1
    99%
  • 30-day mortality1
    3.7%
  • stroke rate1
    5.6%
  • 1-year survival rate1
    93%

Key technical specifications:

  • Diameter
    up to 46 mm in 2 mm increments
  • Length
    up to 256 mm 
  • Fenestration diameters
    8 or 10 mm
  • Branch diameters
    8, 10, or 12 mm

Treatment of the distal aortic arch by f-TEVAR is feasible, with a high technical success and promising 30-day mortality, stroke, and spinal cord ischaemia rates.1
– Tsilimparis N, Prendes CF, Rouhani G, et al.

 

Custom LSA Single Branch


Flexibility in form and strength in function

Key features

  • Internal sealing stents are intended to maximise fabric-to-wall apposition for a more durable seal.
  • The customisable fixation option allows the device to be tailored for disease-specific treatments, optimising outcomes across pathologies, including being available without fixation.
  • The inner branch design provides over 2 cm of overlap potential within the branch, designed for enhanced durability of the bridging stent junction.
  • The low-profile fabric design allows the device to typically load into a 22 Fr* system (for devices up to 42 mm in diameter), easing device introduction.
  • The optional preloaded delivery system is intended to streamline procedures.
  • The pre-curved delivery system conforms to the anatomy with controlled, precise deployment designed to ensure device stays in position without rotating. It intuitively adapts to the curved arch for reliable orientation and ease of use.

Key technical specifications

  • Diameter
    up to 46 mm in 2 mm increments
  • Length
    up to 256 mm
  • Branch diameters
    8,10, or 12 mm

For elective cases that involve extensive coverage, I always revascularise the LSA.
– Professor Bijan Modarai

Interested in speaking with a Cook Medical representative?

To learn more about custom-made devices, or for a consultation, contact your local Cook representative.

Contact a Representative

Interested in speaking with a Cook Medical representative?

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  1. Tsilimparis N, Prendes CF, Rouhani G, et al. Pre-loaded fenestrated thoracic endografts for distal aortic arch pathologies: multicentre retrospective analysis of short and mid term outcomes. Eur J Vasc Endovasc Surg. 2021;62(6):887–895. doi:https://doi.org/10.1016/j.ejvs.2021.08.018.
  • * Sheath size is dependent on the combinations of features and may vary per device.

Thank You for Your Interest in Cook Medical's Products

The product information on this website is intended only for physicians and healthcare professionals licensed in the European Union (except France), the United Kingdom, Switzerland, Norway, Iceland, Turkey, and Liechtenstein. If you are located in another global region, please click on the regional flag at the very top of the webpage and choose your region from the drop-down options.

If your region is not listed, visit our How to Order section for more information.

Information provided on this site is not intended to be professional medical advice. Product Instructions for Use (IFU) should be consulted before use of any product.

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