Unibody bifurcated aortic endograft: device description, review of the literature and future perspectives

Author:

Sirignano Pasqualino1ORCID,Silingardi Roberto2ORCID,Mansour Wassim3ORCID,Andreoli Francesco2ORCID,Migliari Mattia2ORCID,Speziale Francesco1ORCID

Affiliation:

1. Vascular & Endovascular Surgery Unit, Department of Surgery Paride Stefanini, Policlinico Umberto I of Rome, Sapienza University of Rome, Rome, Italy

2. Department of Vascular Surgery, Ospedale Civile Sant’Agostino-Estense, Azienda Ospedaliero-Universitaria di Modena, University of Modena & Reggio Emilia, Modena, Italy

3. Vascular Surgery Unit, Department of Surgery Pietro Valdoni, Policlinico Umberto I of Rome, Sapienza University of Rome, Rome, Italy

Abstract

The unibody (Powerlink/AFX/AFX2) Endovascular AAA device (Endologix Inc., CA, USA) presents a unique design with its long main body and two innate limbs. The device is designed to be deployed and sits on the native aortoiliac bifurcation and represents the only one-piece bifurcated endograft designed to use anatomical fixation for endograft stabilization. According to published literature, the unibody device seems to represent a valid choice in the treatment of abdominal aortic aneurysms. This particular device would seem to satisfactorily perform even in the treatment of more compressed aneurysms (also in off-label association with parallel grafts) and in occlusive pathologies. Ongoing studies will provide new real-life data in a large and unselected patient population to better understand the device’s advantages and limitations.

Publisher

Future Medicine Ltd

Subject

Cardiology and Cardiovascular Medicine,Molecular Medicine

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