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Visceral

Custom solutions to support flow and function
Patient-specific aortic solutions
 

Custom fenestrated

Key features

Our most requested custom device, this solution stands out for its broad applicability and proven success. Recognised for reliability and effectiveness, the visceral custom fenestrated graft is a top choice because of its optimised stent configuration. Fully configurable positioning enables precisely located fenestrations to accommodate visceral vessels. Additional sealing stents can also provide a longer proximal sealing zone.

  • Reinforced fenestrations with nitinol rings are intended to increase the durability of the covered stent.
  • Active fixation reduces the risk of migration and improves long-term graft stability.
  • There is no prescribed limit to the number of fenestrations. This device can accommodate as many fenestrations as needed for the patient, with maximum flexibility in graft design.
  • The preloaded delivery system is designed to allow cannulation from the ipsilateral side or from above, providing an alternative to traditional contralateral groin access.
  • Gold markers are intended to improve visualisation and placement accuracy.
  • Diameter-reducing ties allow minor adjustments for precise alignment during deployment.
  • The customisable scallop is designed to extend aortic coverage without stenting for added flexibility in positioning.
  • The fully stented design offers optimal radial force throughout the seal zone and visceral segment for greater protection of the fenestration and ease of cannulation.
  • This device is available as a modular or standalone system, with or without built-in bifurcation, and is designed to allow maximum customisation options to match the patient’s anatomy, with solutions that can reduce the risk of separation and enhance procedural flexibility.

Clinical advantages of the custom fenestrated solution

  • technical success1
    98%
  • 30-day mortality1
    1.4%
  • target vessel patency at 1 year1
    97%
  • freedom from reintervention at 1 year1
    98%

Key technical specifications

  • Diameter
    typically up to 40 mm in 2 mm increments
  • Length
    typically up to 220 mm
  • Scallop
    single & double
  • Fenestration diameters
    6 x 6 mm. 6 x 8 mm, 8mm, or 10 mm strut-free
  • Fixation
    covered fixation, barbs, or uncovered fixation

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. Gallitto E, Faggioli G, Melissano G, et al. Preoperative and postoperative predictors of clinical outcome of fenestrated and branched endovascular repair for complex abdominal and thoracoabdominal aortic aneurysms in an Italian multicenter registry. J Vasc Surg. 2021;74(6):1795–1806.e6.

Not all products shown on this website may be approved or available in all jurisdictions. Consult with your local Cook representative, distribution company, or customer support centre for details. For all products, please follow any step-by-step instructions carefully, including the risk, technical information, and intended use provided in the Instructions for Use, which can be found on the product details pages on this website or at https://ifu.cookmedical.com.

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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.

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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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