Coil-Covering Caliber-Conforming Stent Grafting (4CSG)
Devin S. Zarkowsky, MD, Christopher Johnson, BS, Jade S. Hiramoto, MD.
University of California San Francisco, San Francisco, CA, USA.
Stable coil placement is an imperative when treating arterial pathology at branch points. Coil kick and escape threaten distal organs, particularly as the pack tightens. Prior to the development of the VBX balloon-expandable stent graft by Gore, vessel caliber change often precluded straightforward stent graft coverage with a single device to secure coils in place. We describe 3 cases employing this unique feature of the Gore VBX device to accommodate challenging anatomy.
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