The upside down Gore Excluder contralateral leg without extracorporeal predeployment for aortic or iliac aneurysm exclusion

Tim J. van der Steenhoven, Jan M. M. Heyligers, Ignace F. J. Tielliu, Clark J. Zeebregts*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

18 Citations (Scopus)


Endovascular techniques, including branched devices to preserve the internal iliac artery are evolving rapidly, but in cases in which the diameter of the proximal sealing zone is larger than that of the distal sealing zone, a reversed tapered device is needed. We describe the off label use of the Gore Excluder contralateral leg endoprosthesis in an upside down configuration to accommodate this diameter mismatch. The preinsertion technical steps of stent graft preparation, which do not require extracorporeal predeployment, are described in detail. As such, an aneurysm of the internal iliac artery and a saccular abdominal aortic aneurysm were successfully excluded. (J Vase Surg 2011;53:1738-41.)

Original languageEnglish
Pages (from-to)1738-1741
Number of pages4
JournalJournal of Vascular Surgery
Issue number6
Publication statusPublished - Jun-2011


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