Thoracoabdominal aortic aneurysm (TAAA) are a complex disease and unique to each patient’s anatomy. A consistent approach can be a powerful tool to simplify this variability. Inner-branch technology (iBEVAR) has the potential to bring greater predictability to both decision making and treatment. Ultimately, this single comprehensive approach can help physicians gain experience and build confidence in the endovascular treatment of TAAA’s.

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Learn From The Experts

The Semibranch: A New Tool for Complex Aortic Pathologies


In this article, Alexander Oberhuber (Münster, Germany) presents the semibranch as new tool to treat patients with thoracoabdominal, para- and juxtarenal aortic pathologies.

The Wide Applicability Of The Inner Branch Based Approach

Said Abisi (London, UK) discusses inner branched endovascular aneurysm repair (iBEVAR) technology, which he describes as a good alternative to fenestrated EVAR (FEVAR) and side branches in many cases.

Case Reports

Type Ia Endoleak Repair with iBEVAR Semi and inner branches

Type Ia Endoleak Repair with iBEVAR Semi and inner branches

Ozan Yazar & Lee Bouwman (Heerlen, Netherlands)

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Type Ia Endoleak Repair after Chimney EVAR with iBEVAR Twin and inner branches
Type Ia Endoleak Repair after Chimney EVAR with iBEVAR
Twin and inner branches
Philipp Geisbüsch & Markus Wortmann (Stuttgart, Germany)
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Proven Clinical Data

CONNECT Study

Objectives

Evaluate clinical and technical success as well as safety and feasibility of the E-xtra Design MultiBranch Stent Graft System, when used for the treatment of TAAA.

General Study Information

  • Observational, prospective, multicenter study
  • PCI: Prof. Schelzig, Düsseldorf, Germany
  • 44 patients with thoracoabdominal aneurysm were treated
  • 8 centers (7 DE, 1 ES)
  • 3 years Follow-Up planned
  • CoreLab: Dr. Kerezsy, Passau, Germany

*  Intent-To-Treat (ITT): defined as all subjects enrolled in the study who attended the procedure
** 2 Patent treated branch vessels 24h after the index procedure

First Interim Results (4-6 weeks Follow-Up)

1. Fernandez, C. C. et al. Standard off-the-shelf versus custom-made multibranched thoracoabdominal aortic stent grafts.
J Vasc Surg 63, 1208-1215, doi:10.1016/j.jvs.2015.11.035 (2016).
2. Hu, Z. et al. Multibranched Stent-Grafts for the Treatment of Thoracoabdominal Aortic Aneurysms: A Systematic Review and Meta-analysis.
J Endovasc Ther 23, 626-633, doi:10.1177/1526602816647723 (2016).
3. Data on file at JOTEC GmbH

Additional Studies

CELER Registry

Inner branched complex aortic repair outcomes from a national multicenter registry using the
E-xtra design platform

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INBREED Registry

Early Outcomes of a Novel Off the Shelf Preloaded Inner Branch Endograft for the Treatment of Complex Aortic Pathologies in the ItaliaN Branched Registry of E-nside EnDograft (INBREED)

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Caution: All products and indications are not available/approved in all markets. The availability of custom-made devices is subject to local regulatory guidelines. E-xtra Design MultiBranch Stent Graft System is a custom-made device for a particularly identified patient manufactured by JOTEC GmbH. All trademarks are owned by Artivion, Inc, or its subsidiaries. JOTEC GmbH is a wholly owned subsidiary of Artivion, Inc. MWENG0024.000 (2024-03)

JOTEC GmbH, Lotzenäcker 23, 72379 Hechingen, Germany

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