1. EVAR Overview and stent-graft implantation in complex iliac anatomy
Angiomed Workshop
Deineka Conference Room 22TH JUNE 2019
Dr. G. Kalender DRK Kliniken Berlin

2. Anaconda Stentgraft modular design flexible safe repositionable
easily probed with magnet wire
Dr. G. Kalender

3. Indications
Morphology suitable for Endovascular Aneurysm Repair (EVAR)
Proximal aortic neck length of ≥15mm
with non-significant calcification and/or thrombus
Native proximal neck diameter 17,5- 31 mm Anaconda™ ONE-LOK™
Adequate iliac or femoral vessel access
Native iliac artery diameters of 8,5- 21 mm
Distal Fixation Length Of ≥20mm
Dr. G. Kalender

4. Modular concept wide range of main bodys and iliac legs
durable ultrathin- polyester
ring- stent design (nitinol)
Dr. G. Kalender

5. contralateral radiopaque markers leg docking radiopaque
bifurcated main body
proximal ring
contralateral radiopaque markers
secondary ring
valley hooks
peek hooks
leg docking radiopaque
distal
radiopaque marker
contralateral cannulation
flare with radiopaque markers
Dr. G. Kalender

6. proximal radiopaque marker distal radiopaque marker
Iliac leg
proximal radiopaque marker
individual ring stents with radiopaque
alignment markers
distal radiopaque marker
Dr. G. Kalender

7. Iliac leg – flared und tapered
proximal radiopaque marker
transition marker
distal radiopaque marker
Dr. G. Kalender

8. fast and easy cannulation
patented magnet wire cannulation
Dr. G. Kalender

9. Fully repositionable
Dr. G. Kalender

10. Range of sizes bifurcated main body diameter 21,5 – 34 mm length 65 mm
Iliac leg
diameter – 23 mm
length – 140 mm
Dr. G. Kalender

11. Anaconda Stentgraft System
NEW ONE-LOK™ BODY:
Additional ring stents:
maximize the lumen und blood flow
large lumen for ipsilateral cannulation
standard diameter in the docking zone
indicated to treat infra-renal neck angulations > 90°
Dr. G. Kalender

12. Proactive Sealing System12
Proactive Sealing System
Excellent sealing function
- dual, proximal
ring stent design with hooks
- security against stent graft migration
Dr. G. Kalender

13. FDA Clinical Trial Phase II
One Year Results of the Vascutek Anaconda™. ONE-LOK EVAR trial. Christopher Kwolek, MD. Randy Moore, MD. On behalf of the Anaconda™ Investigators 
23 hospitals (18 USA, 5 Canada), 195 patients,
>15 mm neck of aneurysm, <60° angulation
98 % technical success , no conversion
0% mortality, 100 % open iliac leg
98% no endoleak Typ I oder III
Typ II endoleak: 32 % (30 Tagen), 26% (1Jahr)
summary: Anaconda- stentgraft- safe and effektive after 12 months
Dr. G. Kalender

14. Fenestrated Anaconda™
Body section without stents:
maximise the available area for fenestrations
optimal flexibility for varying patient anatomies
fully repositionable system for optimal positioning
no deformation of fenestration by stent material
Dr. G. Kalender

15. Fenestrated Anaconda™
patented magnet system:
significantly reduce bifurcate body
cannulation time
dual proximal ring stent design with hooks
provides excellent sealing function
multiple independent ring stent design
provides maximum flexibility for
varying patient anatomies
minimises the potential for kinking
Dr. G. Kalender

16. Fenestrated Anaconda™
> 3000 implantations
> 8000 target vessels
since 06/2010
Vacutek Terumo News, fenestrated anaconda, Jahrgang XVIV 2015
Dr. G. Kalender

17. Custom Made Leg Example Concepts
Dr. G. Kalender

18. Design Possibilitys Sealingring, Hooks, Fenestrations…
Dr. G. Kalender

19. Access Possibilitys
Dr. G. Kalender

20. POST-OP Pictures
Dr. G. Kalender

21. Device Customisations
Pleating
Reduces fabric in region of aortic narrowing
Dr. G. Kalender

22. Additional Fenestration Support Tapered Graft
Helps to alleviate excess fabric overlapping with fenestrations
Reduces the fabric diameter in cases of more extreme narrowing
Dr. G. Kalender

23. Flared Graft Extra-long Body
Increases the fabric diameter in cases of more extreme widening
90-100mm long. Required joining ring to attach two pieces of fabric together and the contralateral flare is removed.
Dr. G. Kalender

24. Legs Lateral
Useful when close to the bifurcation of an existing device or aorta
Dr. G. Kalender

25.
Dr. G. Kalender