Commentary: Use of EndoAnchors to Secure Thoracic and Abdominal Aortic Endografts: Key to Overcoming Apposition Failures?

Risk Factor Analysis of Bird Beak Occurrence after Thoracic Endovascular Aortic Repair

“…A variety of endostaples designed to procure transmural apposition and radial fixation are being used to repair type I endoleaks or stent graft migrations, and some authors 15 have also proposed these devices, in particular the thoracic HeliFx securement system, to treat BB. However, aortic neck calcification and a gap of over 2 mm between the aortic wall and the stent graft can be a limitation of the technique.…”

Commentary: New Low-Profile Zenith Alpha Stent-Graft for the Treatment of Thoracic Aortic Disease

“…10 The introduction of the Heli-FX Thoracic EndoAnchor System (Aptus Endosystems, Sunnyvale, CA, USA) enables prevention and treatment of 573247J ETXXX10.1177/1526602815573247Journal of Endovascular TherapyTolenaar and de Vries bird-beak configurations. 10,11 Although aortic tortuosity was similar for both groups in Torsello's study, it might be argued that patients in the Zenith Alpha group had a more severely angulated proximal landing zone, especially since the instructions for use are extended to patients with an aortic inner curvature of 2.5 cm compared with 3.5 cm in the TX-2 group. It is obvious that 1-year follow-up imaging is essential to appreciate the true incidence of proximal device failures of this new Zenith Alpha stent-graft.…”

Commentary: New-Generation Devices and Adjunctive Procedures Are the Key Elements to Expanding the Indications for Endovascular Aneurysm Repair

“…19 Primary endoanchoring using the HeliFX aortic securement system (Aptus Endosystems, Sunnyvale, CA, USA) appears feasible in reducing the incidence of neck-related complications, 20,21 and early results are promising. 22,23 Additionally, transrenal placement of a self-expanding nitinol stent (E-XL aortic stent; Jotec GmbH, Hechingen, Germany) during EVAR seems to remodel the proximal neck and can treat or prevent type Ia endoleaks in the case of severe neck angulation. 24 To overcome arterial access limitations, several strategies 25 (prophylactic stenting, 24 iliac conduits, 26 brachiofemoral through-and-through wires, 27 arterial reconstructions, "paving and cracking" techniques, 28 or direct aortic access 29 ) have been reported in the literature.…”

“…Primary endoanchoring using the HeliFX aortic securement system (Aptus Endosystems, Sunnyvale, CA, USA) appears feasible in reducing the incidence of neck-related complications, 20,21 and early results are promising. 22,23 Additionally, transrenal placement of a self-expanding nitinol stent (E-XL aortic stent; Jotec GmbH, Hechingen, Germany) during EVAR seems to remodel the proximal neck and can treat or prevent type Ia endoleaks in the case of severe neck angulation. 24…”