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Perspectives in Vascular Surgery and Endovascular Therapy
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The Excluder Aortic Endograft

Daniel M. Alterman, MD

Department of Surgery, University of Tennessee Medical Center, Knoxville, Tennessee

Scott L. Stevens, MD

Department of Surgery, University of Tennessee Medical Center, Knoxville, Tennessee, Sstevens{at}mc.utmck.edu

Since its introduction, more than 59 000 patients have been treated with Gore Excluder endoprosthesis (GORE) for abdominal aortic aneurysm (AAA) in the past 11 years. It has become clearer that differences in device delivery and design provide certain advantages that may favor one anatomical milieu over another. Behavior of the aneurysm sac also seems to be graft dependent as more long-term data become available. The currently available low-permeability GORE seems to have addressed the problem of endotension noted with previous designs. Cumulative data are reviewed, and the data demonstrate very low perioperative morbidity and mortality and excellent protection from aneurysm-related complications with the GORE device. Superior ease of use, excellent trackability, and rare failures requiring acute open conversion characterize the GORE device. By addressing clinical demands of aortic endografting, Gore has eclipsed other endografts in the industry to now dominate the US market. The aim of this review is to describe the history, experience, advantages, and future goals with the GORE for the treatment of AAA.

Key Words: aorta • aneurysm • endograft

This version was published on June 1, 2008

Perspectives in Vascular Surgery and Endovascular Therapy, Vol. 20, No. 2, 136-148 (2008)
DOI: 10.1177/1531003508319786
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