Endovascular Repair of Descending Thoracic Aortic Aneurysms

Inclusion Criteria

• •1. Patient is a candidate for repair of a descending thoracic aortic aneurysm.
• •2. Patient has one or more of the following:
• •* Descending thoracic aneurysm, 5 cm in diameter or greater with proximal and distal neck suitable for stent graft placement.
• •* Aneurysm is 4-5 cm in diameter but has increased in size by 0.5 cm in last 6 months.
• •* Maximum diameter of aneurysm exceeds one and one-half times the transverse dimension of an adjacent normal aortic segment.
• •* Post-traumatic pseudoaneurysm
• •* Post-surgical pseudoaneurysm
• •* Saccular aneurysm
• •* Contained rupture
• •* Penetrating ulcer
• •3. Patient's vascular dimensions must be in the range that can be safely treated with the stent graft and extensions available to the physician at the time of the procedure.
• •4. Patient has patent iliac or femoral arteries or acceptable retroperitoneal access via the abdominal aorta that allow endovascular access to the aneurysmal site with a 23F delivery catheter, typically used with a 25F introducer sheath
• •5. Patient has a non-aneurysmal proximal and distal aortic neck diameter between 25 and 36 mm.
• •6. Patient is American Society of Anesthesiology (ASA) grade 1 through 4.
• •7. Patient has a stage of disease or condition where there is no comparable or satisfactory alternative device or therapy available for treatment; or the patient has an immediately life-threatening disease in which there is a reasonable likelihood that death will occur within a matter of months or in which premature death is likely without early treatment.
• •8. Patient is able and willing to comply with 1 month, 6 month, and 1 year follow-up, and willing to comply with annual post-treatment follow-up requirements thereafter.
• •9. Patient or patient's legal representative understands and has signed an Informed Consent.