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Western Australia’s Leading Vascular Surgery Clinic

FOR DOCTORS Education

Advanced Endovascular Management of Peripheral Vascular Disease

Advanced Peripheral Vascular Disease often results in long segments of main arteries being chronically occluded. In order to overcome difficulties associated with complex atherosclerotic plaque transluminal recanalization of the affected artery can be obtained using sophisticated technologies and devices such as TruePath (Boston Scientific) or FrontRunner (Cordis).

Chronic Total Occlusion of Superficial Femoral Artery

Chronic Total Occlusion (CTO) of Superficial Femoral Artery (SFA) creates one of the most common challenges in managing symptomatic Peripheral Vascular Disease (PVD).

Not infrequently in order to cross chronically occluded segment of SFA or other main axial vessels subintimal passage of wire is required. The success of the procedure frequently depends on controlled re-entry to non-diseased artery beyond occlusion.

This step is assisted by the use of re-entry devices such us Outback Re-entry Catheter (Cordis) or Off Road Catheter (Boston Scientific).

Endovascular Management of Abdominal Aortic Aneurysm

Endovascular repair is a preferred treatment for many people with an abdominal aortic aneurysm (AAA), and an alternative for some who do not qualify for open surgery.

How an AAA is repaired varies depending on location, which then classifies the procedure as either STANDARD or COMPLEX.

STANDARD endovascular repair (EVAR) involves deploying endovascular stent graft under the level of renal arteries.

COMPLEX endovascular treatment (FEVAR) requires provision of fenestrations or branches incorporated into endovascular stent graft utilized to obtain seal above the level of renal arteries or mesenteric vessels and simultaneously maintain blood supply to those crucial arteries.

GORE VIABAHN Endoprosthesis Animation

Recanalization of chronically occluded segments of main axial vessels such as Superficial Femoral Artery or External Iliac Artery frequently requires insertion of covered stent-grafts which act as virtual in-situ bypass. This enables patients to avoid need for open bypass surgery significantly reducing morbidity, mortality and postprocedural recovery time.

Conformable GORE TAG Thoracic Endoprosthesis Treatment Option for a Thoracic Aortic Aneurysm

Recanalization of chronically occluded segments of main axial vessels such as Superficial Femoral Artery or External Iliac Artery frequently requires insertion of covered stent-grafts which act as virtual in-situ bypass. This enables patients to avoid need for open bypass surgery significantly reducing morbidity, mortality and postprocedural recovery time.

GORE EXCLUDER AAA Endoprosthesis Feature C3 Delivery System

Modern management of Abdominal Aortic Aneurysms significantly reduced perioperative mortality, morbidity, ICU admission rate and in-patient recovery time allowing majority of the patients to be discharged home within 3-5 days following completion of the treatment.

Treatment of Popliteal Artery

Access for Patients requiring hemodialysis

Drug Eluting Self Expanding Stent

Drug Eluting Balloon Angioplasty