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Custom Ascending Arch Branch


Key features

Designed for flexibility and durability, these solutions are tailored to accommodate a wide range of pathologies. A focus on sealing with options for fixation and a proven, anatomy-focused delivery system enhance positioning and provide ease of use during complex arch repairs.

  • The low-profile fabric design allows devices up to 42 mm in proximal diameter to load into a 22 Fr system.
  • Up to 3 customisable inner branches are positioned to suit the patient’s unique anatomy.
  • Spiral stabilising wire and the self-orienting delivery system are specifically designed for precise and controlled deployment when you need it most.
  • The diamond-shaped openings have a reinforced bow wire, which is designed to protect the branch opening and enhance ease of branch cannulation.
  • The 21 mm branch length maximises overlap with the covered stent and is intended to increase durability.

Clinical advantages of the custom ascending arch branch

  • technical success1
    100%
  • 30-day mortality1
    5%
  • major stroke rate1
    2.5%
  • 1-year survival rate1
    90%

Key technical specifications

  • Diameter
    34–46 mm
    in 2mm increments
  • Length
    up to 256 mm
  • Tip length
    as short as 35 mm
  • Branch diameters
    8, 10, or 12 mm

The mortality and stroke rates compare favourably with those after open surgical repair in a higher risk group.1
– Tenorio ER, Oderich GS, Kölbel T, et al.

Interested in speaking with a Cook Medical representative?

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

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  1. Tenorio ER, Oderich GS, Kölbel T, et al. Multicenter global early feasibility study to evaluate total endovascular arch repair using three-vessel inner branch stent-grafts for aneurysms and dissections. J Vasc Surg. 2021;74(4):1055–1065. doi:https://doi.org/10.1016/j.jvs.2021.03.029.

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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