What do you need from a Fenestrated EVAR device?

Over 1800 implants have been performed to date

Fenestrated Anaconda™ is a fully customised AAA stent graft system with fenestrations positioned to accommodate the individual patient’s anatomy.

Fenestrated Anaconda™ Custom AAA Stent Graft System delivers;

  • Uncompromised positioning of fenestrations due to unsupported body allowing tailored design
  • Full repositionability during deployment
  • Ease of access – no top cap, access to fenestrations proximally and distally
  • Magnet accelerated cannulation facilitating fast and easy cannulation
  • Unique Case Rehearsal Service

Case rehearsal service with prototype testing 

High technical success rate1

3 weeks delivery time2

Fenestrated AnacondaTM Animation

Key Features of the Fenestrated Anaconda™ Custom AAA Stent Graft System

Unique Design Allows a Tailored Fit

More opportunities to treat your patient’s individual anatomy

The unconstrained body section of Fenestrated Anaconda™ maximises the available area for fenestrations and provides optimal flexibility to cater for varying patient anatomies3.

The proximal ring stent design can be adjusted to accommodate branch vessels4.

Fully Repositionable

Fenestrated Anaconda™ is the first fully repositionable fenestrated stent graft system.

The ability to fully reposition assists in the alignment of the fenestrations with corresponding target vessels and ensures accurate deployment of the device at the intended landing zone5.

Magnet Accelerated Cannulation

Facilitates fast and easy cannulation6

The design of the device and delivery system provides the optimal approach for cannulation of the visceral vessels from either above or below the Fenestrated Anaconda™ Custom AAA Stent Graft System3.

Ease of Access

The open proximal ring stent offers the potential for immediate brachial access after unsheathing for steeply angled visceral vessels7.

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Over 1800 implants to date

Vascutek products are available in 90+ countries

Open surgical repair of juxtarenal abdominal aortic aneurysms (AAA) carries a higher morbidity and mortality than that of infrarenal AAA. Fenestrated stent grafts have been available for several years and show promising results.

Dr Peter Bungay, Consultant Interventional Radiologist, UK

Clinical Papers

Some of the clinical papers are listed below and are available on request

Six-month experience with a novel custom-made Fenestrated stent graft in the repair of juxtarenal and type IV thoracoabdominal aneurysms.

Rolls A.E, Jenkins M, Bicknell C.D, Riga C.V, Cheshire N.J , Burfitt N, & Hamady M.

J Vasc Surg 2013; 59; 3; 615-622.

Dutch experience with the Fenestrated Anaconda™ endograft for short-neck infrarenal and juxtarenal abdominal aortic aneurysm repair.

Dijkstra M.L, Tielliu I.F.J, Meerwaldt R, Pierie M, van Brussel J, Schurink G.W.H, Lardenoye J and Zeebregts C.J.

J Vasc Surg 2014; 60; 2; 301–307.

F-EVAR does not impair renal function more than open surgery for juxtarenal aortic aneurysms: single centre results,.

Shahverdyan R, et al.

European Journal of Vascular and Endovascular Surgery 2015;1-10.

Technical feasibility of endovascular aortoiliac aneurysm repair combining Anaconda™ Fenestrated and Zenith iliac side-branched stent grafts.

Shahverdyan R, Gray D, Gawenda M, and Brunkwall J

J Vasc Surg 2013; 61; 5; 1324–1328.

Dutch experience with the Fenestrated Anaconda™ endograft for short-neck infrarenal and juxtarenal abdominal aortic aneurysm repair.

Dijkstra M.L, Tielliu I.F.J, Meerwaldt R, Pierie M, van Brussel J, Schurink G.W.H, Lardenoye J and Zeebregts C.J.

J Vasc Surg 2014; 60; 2; 301–307.

Fenestrated Anaconda™ endograft for juxta- and pararenal aortic aneurysms: preliminary experience.

Gallitto E, Gargiulo M , Freyie A , Bianchini Massoni C, Mascoli C, Pini R, Faggioli G, Stella A.

J Vasc Surg 2015; 22; 2; 53-59

Instructions for Use

The standard Anaconda™ IFU is supplied with all Fenestrated Anaconda™ devices. Additional supplementary IFUs are provided based on the individual design of the Fenestrated Anaconda™ device.

References

  1. Anaconda™ Fenestrated Graft: Short And Medium Term Results Of The First 100 UK Cases. Burfitt NJ, VEITH Symposium 2013.
  2. Supporting Data on File at Vascutek.
  3. C Zeebregts et al. Dutch Experience with the Fenestrated Anaconda™ Endograft for Short-Neck Infrarenal and Juxtarenal Abdominal Aortic Aneurysm Repair. JVS 2014; 60:2, 301-307.
  4. P Bungay et al. Initial Experience with a New Fenestrated Stent Graft. JVS 2011; 54:6, 1832-1838.
  5. R H Geelkerken et al. The Anaconda™ AAA Stent Graft System: 2-Year Clinical and Technical Results of a Multicentre Clinical Evaluation. EJVES 2009; 50:6, 1530 -1538.
  6. Anaconda Fenestrated. Dr G Pollock, Royal Derby Hospital, Derby, UK. Anaconda™ Summit, Bologna, Italy, July 2011

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Magnetic Resonance Imaging Safety

The Anaconda™ AAA Stent Graft System was determined to be MR conditional (i.e. according to information provided in the following document: American Society for Testing and Materials (ASTM) International, Designation: F 2503-08).

Clinicians implanting the Anaconda™ AAA Stent Graft System should follow Standard Practice for Marking Medical Devices and Other Items for Safety in the Magnetic Resonance Environment.

Non-clinical testing demonstrated that the Anaconda™ AAA Stent Graft System is MR Conditional.
A patient with the Anaconda™ AAA Stent Graft System can be scanned safely, immediately after placement under the following conditions:

  • Static magnetic field of 3-Tesla or less
  • Maximum spatial gradient field of 720-Gauss/cm or less
  • Maximum whole-body-averaged specific absorption rate (SAR) of 3-W/kg for 15 minutes of scanning

In non-clinical testing, the Anaconda™ AAA Stent Graft System produced a temperature rise of less than or equal to 2.0°C at a maximum whole body averaged specific absorption rate (SAR) of 3-W/kg for 15-minutes of MR scanning in a 3-Tesla MR system (Excite, HDx, Software 14X.M5, General Electric Healthcare, Milwaukee, WI).

MR image quality may be compromised if the area of interest is in the same area or relatively close to the position of the Anaconda™ AAA Stent Graft System.

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FEVAR solutions?

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