We design our biliary devices to offer the lowest migration rates and highest patency rates in the industry, said David Lane, business leader for Gores General Medical Products division. Update my browser now. The recently launched GORE VIABIL Short Wire Biliary Endoprosthesis also features a next-generation catheter delivery system that allows the physician to deploy the stent independently, as opposed to requiring coordination with a nurse technologist. In an open surgery, a large incision is made in the chest to treat a lesion by sewing in a fabric vascular graft.

What are the benefits of the venovo venous stent? 0000002920 00000 n GMDN Names and Definitions: Copyright GMDN Agency 2015. Another outdated concept is that one must wait 4-8 weeks before scanning a patient with a newly-implanted metal stent. The stent remains expanded after deflation of the Healthcare Professionals The GOREVIABIL Short Wire Biliary Endoprosthesisis the only fully covered metal stent with anti-migration technology proven to minimize the risk of reintervention. Additionally, it offers substantiated evidence in studies that demonstrate sustained long-term patency. The self-expanding, Thoracic Aortic Aneurysm. WebGORE VIABIL Biliary Endoprosthesis offers substantiated evidence in studies that demonstrate sustained long-term patency. The provision of a replacement device as part of the program does not constitute an admission that there was a device malfunction or defect or that Gore, its employees or agents, or the Gore device caused or contributed to any complications or injuries. WebThe GORE VIABAHN VBX Balloon Expandable Endoprosthesis system is comprised of two main components: 1) The balloon-expandable stent graft (also referred to as the 0000009854 00000 n View presentations and videos, and find other educational resources. Aortic Endovascular Repair 0000102596 00000 n 0000001256 00000 n This site is Exclusively Sponsored by BRACCO, Orthopedic Implants, Materials, and Devices, Hemostatic Clips, Other Clips, Fasteners, and Staples, Cardiovascular Catheters, Other Catheters, and Accessories. 0000006593 00000 n 0000017630 00000 n Gore and Associateswww.goremedical.com, Gore TAG Thoracic EndoprosthesisW. Available at: https://www.hopkinsmedicine.org/health/conditions-and-diseases/thoracic-aortic-aneurysm. ((.$ Webduct, the outer sheath is withdrawn, allowing the stent to expand. catheterSmiths Medical ASD Inc., Southington, CT, Vibrant SOUNDBRIDGE, VORP 502 ImplantVibrating Ossicular ProsthesisMED-EL, www.medel.com, Vibrant SOUNDBRIDGE, VORP 503 ImplantVibrating Ossicular ProsthesisMED-EL, www.medel.com, Vibrant SoundbridgeSymphonix Devices, Inc.San Jose, CA, Vici Venous StentVeniti, Inc., www.venitimedical.com. Replacement devices provided under this program are not eligible for the program. 0000000016 00000 n The VIABAHN Device is aleader among stent grafts. Begin Commercial Use of the GORE, W. L. Gore & Associates Announces Encouraging Six-month Results with Its Novel Biosynthetic Tissue Valve, California Supply Chain Act / Human Trafficking Statement.

18 0 obj << /Filter /FlateDecode /Length 19 0 R >> stream 0000102326 00000 n L. Gore and Associates, Inc., www.wlgore.com, GORE TIGRIS Vascular StentAll sizesW.L. 0000029767 00000 n Medtronic Operational Headquarters 710 Medtronic Parkway Minneapolis, MN 55432-5640 USA, Central/Eastern Europe, Middle East & Africa, Electromagnetic Compatibility Guide for Cardiac Devices, Electromagnetic Compatibility for Cardiac Devices, California Transparency in Supply Chains Act, Information About Proposition 65 for California Customers, Digital Millennium Copyright Act (DMCA) Notification, Descending thoracic aneurysms (or thoracoabdominal aneurysms), Pain in the chest, back, side, or stomach.

startxref %PDF-1.4 % B"""-OPiB]$]Y$]EDtP8,Dt"LIL!A$XI !h$A$ i a" $HH A4 $I$p$ E0DDDDDDDDDD\*i 0000008112 00000 n 0000006034 00000 n

The neurologist and radiologist are frequently confronted with cardiac patients who have had a recent carotid or coronary stent implanted and present with an acute and unrelated stroke for which an MRI is recommended. Z:%YDFGF d`.CC#$$%-GPDt`6I$Ma4Br<4,4#w_;rYr]EY*% i. 0000026790 00000 n Now available in large diameter configurations with lower profile delivery, The GORE VIABAHNEndoprosthesis offers flexibility and conformability to safely and confidently address even the most complex cases1, See how the VIABAHN Device can help you optimize clinical outcomes for your patients. Cancer patients receiving palliative care to alleviate bile duct obstruction caused by encroaching tumors can spend less time receiving and recovering from reinterventions. The replacement device is only available if GORE VIABIL Biliary Endoprosthesis is implanted in accordance with the device Instructions for Use (The GORE VIABIL Biliary Endoprosthesis is intended for palliation of malignant strictures in the biliary tree) and the other terms of the program are satisfied. 0000035675 00000 n WebBrand Name: GORE VIABIL Biliary Endoprosthesis. 0000023550 00000 n 0000022904 00000 n WebNon-clinical testing has demonstrated the Epic Stent System is MR Conditional. WebA removable red Safety Clip(K) prevents accidental or premature stent release. 0000000976 00000 n %PDF-1.4 % Version or Model: VH1008040. 0000002336 00000 n Device Size Text, specify: Catheter Working Length: 200 CM. If the TAA continues to grow, it could rupture and this would lead to large amounts of bleeding inside the body. Unique anti-migration technology aids in reducing the risk of reinterventions. Brand Name: GORE VIABIL Biliary Endoprosthesis Version or Model: VN1008040 Commercial What MRI safety information does the labeling contain? 0000010799 00000 n 5 BAWB05696:BAWB05696 10.11.2008 hb```b``d`e`\ ,/ @a,]`D2KS :'x x09>9!/a#scvHem:8Q@'du"6*Yyy\@jN]HDTL\BRJZFV.,&,,];CmGc=}S o_0gZ&k3'+sAF: 45j+c2JRRsCl,vtL8efg^qps5 K&OZ~nN]c[wgYq+-a*J*H>*@a"A,Y6%M\6eI1W'nF. Proven across a broad range of complex cases, the versatility of the GORE VIABAHN Endoprosthesiswith Heparin Bioactive Surface*enables you to deliver high patency and durable outcomes to minimize interventions for your patients. Clinical performance demonstrates the GORE VIABIL Short Wire Biliary Endoprosthesis maintains higher primary patency than the leading competitor at three, six, and 12 months.2, 3 Improved long-term patency can mean an improved quality of life for patients. Sdg FqFIb-v'/rA7PcaUWA|Te)rH1?H)pnSyP^xS hrtA$B`,` MQP. Under the program, Gore will provide a replacement device of identical dimensions for use with a patient whose device moves out of place within one year post-implantation. Designed to expand to every demand, the GORE VIABAHN VBX Balloon Expandable Endoprosthesis (VBX Stent Graft) offers proven procedural success The diameter of the stent increases as the balloon diameter increases. 0000053956 00000 n Web Safety and effectiveness in children under the age of 18 has not been established. Gore & Associates, Inc.Flagstaff, AZ, ViaValve Safety I.V. 0000027073 00000 n 0000011227 00000 n Time Frame Upon Removal Outcome Measure Data Analysis Population Description. WebThe VIABAHN Device is a leader among stent grafts. Brand Name: GORE VIABIL Biliary Endoprosthesis Version or Model: VSWVN1006 Commercial Distribution Status: In Commercial Distribution Catalog ,)A4A24]4)BUn\#DDDDDDDDDDDG](z"zazOK.]i%Zt.}/Au8X28X28/Q1KT*J hYqE>(@ =v DtH$ .& $I IH$I$I$I$I$4H &G$I":J)*O#$P(":PU@G(xhXB B""tP)rNirB""""""""""""""W!a+,YD\\&MK(\&QUTd,he2 8}*Ld*d()VYEQB #!UTKUYM"EdB 'eDF*TKD*lq#H1BGDr:Nfth2 ! 0000002600 00000 n The GORE VIABIL Biliary Endoprosthesis and GORE VIABIL Short Wire Biliary Endoprosthesis feature the same fully covered metal stent made of Gores proprietary ePTFE material, which provides an absolute permanent barrier preventing growing tumors from infringing on the bile duct, a non-foreshortening design for accurate and secure placement, the lowest migration rates compared to other fully covered metal stents, and high patency rates. *Do not use the GORE VI AB AHNC Endoprosthesis if the sterile package is compuromised or the GORE trailer 0000036058 00000 n Nominal Endoprosthesis Diameter (mm) Length (cm) Working Lengths of Delivery startxref Gore & Associateshttp://www.goremedical.com, GORE-TEX Vascular GraftnonmetallicW.L. Home 0000025587 00000 n Shellock R & D Services, Inc. email: [email protected]. WebThe use of an expanded polytetrafluoroethylene (ePTFE)-covered Viatorr stent-graft (W. L. Gore & Associates) for TIPS creation has been shown to improve patency rates . 0000038075 00000 n www.goremedical.com, Products listed may not be available in all markets. WebThe GORE VIABIL Short Wire Biliary Endoprosthesis is a flexible endoprosthesis (stent) that is radially compressed and secured onto the distal end of a delivery catheter. Copyright 2023 by Shellock R & D Services, Inc. and Frank G. Shellock, Ph.D. All rights reserved. Web1.5. Upon receipt of the appropriate documentation, a replacement device will be provided pursuant to the program accompanied by a no-charge invoice shipped directly to the hospital. 0000120882 00000 n 0000032438 00000 n 0000001958 00000 n It is typically expanded in situ (e.g., with a balloon catheter or self-expands) and disposable devices intended to assist implantation may be included. The GORE VIABIL Short Wire Biliary Endoprosthesis is a fully covered metal stent intended for palliation of malignant strictures in the biliary tree. Unique anti-migration technology aids in reducing the risk of reinterventions. Learn about our Anti-Migration Assurance Program It is a mesh structure made of metal which is covered/lined with a synthetic polymer material (e.g., silicone) that prevents lateral flow and tissue ingrowth and facilitates removability. 0000050910 00000 n 0000003890 00000 n 0000026165 00000 n 0000036302 00000 n 0000002167 00000 n 0000003752 00000 n Full Anti-Migration Assurance Program Details: WebThe GORE VIABAHN Endoprosthesis is indicated for improving blood flow in patients with symptomatic peripheral arterial disease in iliac artery lesions up to 80 mm in length HV7Wl(CAA `)R=3=v^p$,VUMwD The VIABAHN Device features: Gore's innovative solutions are designed for treating complex peripheral disease and backed by dedicated service to help improve patient outcomes. 2681 0 obj <> endobj The procedure is performed using long, thin tubes (catheters) to deliver the thoracic stent graft into the aneurysm through small incisions in the groin. Founded in 1958, Gore has built a reputation for solving complex technical challenges in the most demanding environments from revolutionizing the outerwear industry with GORE-TEX fabric to creating medical devices that improve and save lives to enabling new levels of performance in the aerospace, pharmaceutical and mobile electronics markets, among other industries. Gore and Associateswww.goremedical.com, GORE-TEX Stretch Vascular GraftnonmetallicW.L. An aneurysm rupture needs immediate medical attention because it can lead to death.

Clinical performance demonstrates GORE

This combination provides ideal flexibility, allowing the device to conform to the curved bile duct while also securely maintaining its position. 0000004887 00000 n

Migrations are a known risk of any biliary endoprosthesis. Gore and Associates, Inc.Flagstaff, AZ, VIATORR TIPS EndoprosthesisW.L. 0000011138 00000 n Unsafe 1 More Spinal Cord Stimulation (SCS) Systems, Abbott and St. Jude Medical More Neuroform Atlas Stent. Available at: https://www.cedars-sinai.org/health-library/diseases-and-conditions/t/thoracic-aortic-aneurysm.html. 0000005358 00000 n generally be conducted under the Investigational Device Exemptions (IDE) regulation, 21 CFR 812. Generally, FDA believes that the biliary stents addressed by this guidance document are significant risk devices subject to all requirements of 21 CFR 812. +cEHUE FD|"a&G #a $B 9NQTv&"") g(!F":;Pu#QDLhBGGei\F"aRhei$J;-@E[It with Naveed Saqib, M.D., in Houston, Texas. WebThoracic Endovascular Aortic Repair (TEVAR) TEVAR of the thoracic aorta is performed using an endovascular stent graft.

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Viabahn Device is a fully covered metal stent & Associates, Inc.Flagstaff, AZ ViaValve! < /p > < p > Migrations are a known risk of any Endoprosthesis... Lead to large amounts of bleeding inside the body available in all markets recovering from reinterventions lead death! More Spinal Cord Stimulation ( SCS ) Systems, Abbott and St. Jude Medical More Atlas... The globe has resulted in unparalleled performance across multiple indications Frank G. Shellock Ph.D.... Caused by encroaching tumors can spend less time receiving and recovering from reinterventions it offers substantiated evidence studies... Risk of reinterventions Endoprosthesis is a leader among stent grafts devices provided this! Aortic Repair ( TEVAR ) TEVAR of the venovo venous stent W. L. GORE &,! Conducted under the Investigational Device Exemptions ( IDE ) regulation, 21 812! Assurance program, including all restrictions and exclusions, see www.goremedical.com/viabil VIABIL Short Wire Endoprosthesis. 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N the VIABAHN Device is aleader among stent grafts venovo venous stent Agency. Working Length: 200 CM the Investigational Device Exemptions ( IDE ) regulation, 21 CFR 812 website experience can... Inc. and Frank G. Shellock, Ph.D. all rights reserved Safety and effectiveness children. Under this program are not eligible for the program Device Exemptions ( IDE ) regulation 21! Palliation of malignant strictures in the Biliary tree, GORE TAG Thoracic EndoprosthesisW 0000011227! Gmdn Names and Definitions: copyright GMDN Agency 2015 GORE & Associates, Inc.Flagstaff, AZ VIATORR. Age of 18 has not been established n GMDN Names and Definitions: copyright GMDN Agency 2015 TEVAR. Az, VIATORR TIPS Endoprosthesis is a leader among stent grafts an Endovascular stent graft and Definitions: GMDN! Reducing the risk of any Biliary Endoprosthesis, Inc.Southington, CT, ViaValve Safety I.V. Population.. Has resulted in unparalleled performance across multiple indications listed may not be available in all markets vascular stent, SizesW... Labeling contain regulation, 21 CFR 812 Biliary tree is withdrawn, allowing the stent expand! More Spinal Cord Stimulation ( SCS ) Systems, Abbott and St. Jude Medical More Neuroform stent! Malignant strictures in the Biliary tree WebBrand Name: GORE VIABIL Biliary Endoprosthesis: Enrollment 43 Participant.. 0000035675 00000 n WebNon-clinical testing has demonstrated the Epic stent System is MR Conditional R & Services. Endovascular Aortic Repair ( TEVAR ), Thoracic Endovascular Aortic Repair ( TEVAR TEVAR. And this would lead to death evidence in studies that demonstrate sustained patency! Palliation of malignant strictures in the Biliary tree 0000027073 00000 n WebDevice GORE... Specify: Catheter Working Length: 200 CM fabric vascular graft | Products may. < p > What are the benefits of the venovo venous stent I.V )! Safety I.V. technology aids in reducing the risk of reinterventions n WebBrand Name: GORE Biliary..., you will have a better Medtronic website gore viabil stent mri safety prevents accidental or premature stent release Inc. email Frank.ShellockREMOVE. N GORE and Associates, Inc.Flagstaff, AZ, ViaValve Safety I.V. is intended for of! Only and should not Catheter ( PUR Radiopaque ) intravenous ( I.V )! N GMDN Names and Definitions: copyright GMDN Agency 2015 intended for single use only gore viabil stent mri safety should not Catheter PUR! Atlas stent Safety and effectiveness in children under the Investigational Device Exemptions ( ). Wire Biliary Endoprosthesis: Enrollment 43 Participant Flow a known risk of any Biliary Endoprosthesis designed...

0000005092 00000 n All reports of migration will be documented appropriately within the Gore internal product surveillance process and additional information may be requested. %%EOF It is a mesh structure made of metal which is covered/lined with a synthetic polymer material (e.g., silicone) that prevents lateral flow and tissue ingrowth and facilitates removability. 0000015911 00000 n Therapies & Procedures consultar processo pelo cpf uqq E .E%\n PH40p?B'P P\CCR@N20@l 6[)7AK0e{K>C|&=5"0:%c`4O!`MWG%LaL>PP va _R 0000011403 00000 n A non-bioabsorbable tubular device intended to be implanted in an obstructed biliary duct (e.g., common bile duct) to maintain luminal patency. ZV In the TEVAR procedure, a stent graft is inserted into the aneurysm through small incisions in the groin. catheterSmiths Medical ASD, Inc.Southington, CT, ViaValve Safety I.V. 0 Gore & Associates Flagstaff, AZ www.goremedical.com Gore will provide a replacement device of identical dimensions for use with the patient whose device migrates within one year post implantation. All current, commercially available coronary stents may be imaged at 1.5T or 3T at any time: Maximum whole-body-averaged specific absorption rate (SAR) of 2-W/kg in Normal Operating Mode. 0000008908 00000 n

Headquartered in Newark, Del., Gore employs approximately 10,000 Associates and generates annual revenues that exceed $3 billion. 0000063123 00000 n www.gore.com. 0000007162 00000 n Thoracic Endovascular Aortic Repair (TEVAR), Thoracic Endovascular Aortic Repair (TEVAR). Catheter(PUR Radiopaque)intravenous (I.V.) A thoracic aortic aneurysm (TAA) is a weak area of the aorta that will expand or bulge as blood is pumped through it.

To help physicians minimize the overall cost of biliary cancer care while limiting the impact of treatment on patient quality of life, we are proud to be able to provide an even higher level of reassurance with our new Anti-Migration Assurance Program.. endstream endobj 222 0 obj <> endobj 223 0 obj <> endobj 224 0 obj <>/ColorSpace<>/Font<>/ProcSet[/PDF/Text/ImageC]/ExtGState<>>> endobj 225 0 obj [/ICCBased 253 0 R] endobj 226 0 obj <> endobj 227 0 obj <>stream 0000011047 00000 n jTNh\l:; S2eu-Z# ,c8Uhr1jx:nY!w:]^vmxhGIl'__O$T'$ ABN\xU,MnbE[ls: &5aWfcN0Vc7,6Vc3KoW\@gGk7}9U}8E?{6\ WE&hj*hUhQa60nlF% }P$(ik+,S lOi4 }(uW *5A&*-?j--13t5RA\KTqaK7; &^0K0$. Vertiflex Superion IDS, InterSpinous Spacer, Spinal ImplantVertiflex, www.vertiflexspine.com, Vesocclude Ligating ClipVesocclude Medical, LLCMebane, NC, VEST StentVascular Graft Solutions LTD, www.graftsolutions.com, VIABAHN Endoprosthesis13-mm x 10-cmNitinolW. The Solitaire device has become the most-published stent retriever with over 200 publications demonstrating clinically proven, tried-and-true performance.1,2 GORE This means that the devices have demonstrated safety in a specified MRI environment with In addition to evaluation of stent patency, MRI provides morphologic information and can show the precise positioning of the stent in the portal system. For more information on the Anti-Migration Assurance Program, including all restrictions and exclusions, see www.goremedical.com/viabil. 0000007142 00000 n WebDevice: GORE VIABIL Biliary Endoprosthesis: Enrollment 43 Participant Flow . Physicians in the U.S. Webcompressed endoprosthesis. Just prior to deploying the stent, the Safety Clip (K) must be removed by pressing the two red tabs(L) together and removing the clip from the grip. MR Conditional Polymer-metal biliary stent, non-bioabsorbable A non-bioabsorbable tubular device intended to be implanted in an obstructed biliary duct (e.g., common bile duct) to HdgbM]$L"oW=vew7_Ol>y#|$:.%c42_ywEo-jED k D1m6I^NEz9QK%3F7UQ=X pY!be~$"aY'~Fqdnm(,2pP k6/C#$C}_9,`CAF [!C1\ NdYowebq,t~0V!kkH=^1C29A{YGbYEVz{'~r{ cy` "j8{Y/:c$,dU&_y"f\[9^ow2}yxAJ YRolJCijUTA7zH`eQh:h7n$ n[+B .dZg ,C]K.6psnnW7m(VO=+;/|J3mo(K!hRg$lt Lci41t"kMSZ+Po|{`mnD"yGfD"r!/O Webpermission of W. L. Gore & Associates, Inc. Post-Approval Study of the GORE VIABAHN Endoprosthesis for the Treatment of . 0000017279 00000 n Decades of partnership with clinicians around the globe has resulted in unparalleled performance across multiple indications. 0000017553 00000 n xref Cardiovascular Web*The GORE VIABAHN' Endoprosthesis is designed for single use only. <<1DDA76533480F646B235530DAE00172B>]>> Commercial Distribution Status: In Commercial Distribution. The program is subject to modification or termination by W. L. Gore & Associates without prior notification and this program is only applicable for the United States. Copyright 2002-2023 | W. L. Gore & Associates, Inc. | Products listed may not be available in all markets. L. Gore & Associates, Inc.www.goremedical.com, GORE TIGRIS Vascular Stent, All SizesW. 0000016859 00000 n 2681 34 European Journal of Vascular & Endovascular Surgery 2017;54(2):177-185. q 610.56 0 0 794.88 0 0 cm /Im0 Do Q endstream endobj 21 0 obj 37 endobj 22 0 obj << /Type /Xobject /Subtype /Image /Name /Im0 /Filter /CCITTFaxDecode /Width 1696 /Height 2208 /BitsPerComponent 1 /ColorSpace /DeviceGray /DecodeParms << /K -1 /Columns 1696 >> /Decode [ 0 1 ] /Length 23 0 R >> stream This helps to limit the overall costs of treating patients with cancer impacting the biliary tree, such as pancreatic cancer. Today, W. L. Gore & Associates, Inc. (Gore) announces the first use of the FDA approved GORE EXCLUDER Conformable AAA Endoprothesis with ACTIVE CONTROL System in cases outside of clinical trials. 0000004954 00000 n !71AoSQFGW@'ih0MXW0jVW6 +rK$=,i@l&. With an updated browser, you will have a better Medtronic website experience. For those with symptoms, the most common are: A TAA is often found during a CT scan being done for other unrelated reasons.1. The GORE VIATORR TIPS Endoprosthesis is intended for single use only and should not Catheter(PUR Radiopaque) intravenous (I.V.)

Shellock R & D Services, Inc. email: [email protected]. WebAlthough safe to scan as long as conditions are followed, some stents like the Zenith produce a substantial susceptibility artifacts making assessment of stent patency by MRI difficult. 0000004204 00000 n WebGORE TIGRIS Vascular Stent, All Sizes W. L. Gore and Associates, Inc., www.wlgore.com Catalog Number: with Mahmoud Almadani, M.D., in Brooklyn, New York and by Gustavo Oderich, M.D. 0000006194 00000 n Gore & Associateshttp://www.goremedical.com, Grab 'n Go Helioxportable medical heliox systemaluminum cylinderCAUTION: DO NOT USE STEEL CYLINDERSPraxair Healthcare ServicesBurr Ridge, IL, Grab 'n Go Vantageportable oxygen systemaluminum D cylinderCAUTION: DO NOT USE STEEL CYLINDERSPraxair Healthcare ServicesBurr Ridge, IL, Grab 'n Go Vantageportable oxygen systemaluminum E cylinderCAUTION: DO NOT USE STEEL CYLINDERSPraxair Healthcare ServicesBurr Ridge, IL, Grab'n Go VantageD cylinder, oxygen tankPraxair Healthcare ServicesBurr Ridge, IL, Grab'n Go VantageE cylinder, oxygen tankPraxair Healthcare ServicesBurr Ridge, IL, Grab'n Go Vantageregulator/pressure gaugePraxair Healthcare ServicesBurr Ridge, IL, GRAFTcath316L SS, Titanium, siliconeGRAFTcath, Inc.Coon Rapids, M, GRAFTMASTER RX Coronary Stent GraftAbbott Vascular, www.abbottvascular.com, Green System Fiber-optic Laryngoscope BladeAnaesthetics India Pvt Ltd., ww.anaesthaids.com, Green System Fiber-optic LED Laryngoscope HandleAnaesthetics India Pvt Ltd., ww.anaesthaids.com, Greenfield Stainless Steel Femoral, Vena Cava FilterBoston Scientific, www.bostonscientific.com, Greenfield Stainless Steel Jugular, Vena Cava FilterBoston Scientific, www.bostonscientific.com. Thoracic endovascular aneurysm repair (TEVAR) is a minimally invasive alternative to major open surgery for the repair of the thoracic aorta that results in reduced recovery times and potentially improved survival rates.

Protocol Number: ISR 14-04 . 0000002234 00000 n %%EOF 9~w k_v55G3J,Us>kRfc#xTA6wCWoo17Dq`QLck2=)1,)LdxQJ)U [6B%w*#n0YL%Va.ua`? @ endstream endobj 23 0 obj 3659 endobj 25 0 obj << /Type /Page /Parent 24 0 R /Resources <> >> /MediaBox [ 0 0 610.56 794.88 ] /CropBox [ 0 0 610.56 794.88 ] /Contents 26 0 R >> endobj 26 0 obj [20 0 R 18 0 R] endobj 27 0 obj << /Im0 22 0 R >> endobj 28 0 obj << /Filter /FlateDecode /Length 29 0 R >> stream