Commentary on 'An optimal combination for EVAR: Low profile endograft body and continuous spiral stent limbs'

摘要

Low profile (LP) body, spiral Z limbs. Why not? We certainly have even inter-manufacturer combinations, for example Cook Zenith LP (Cook Aortic Intervention, Bloomington, IN, USA) body with Gore 27-mm flared limbs (WL Gore & Associates, Inc., Flagstaff, Arizona, USA; soon reducing to 16 Fr) on our list. Couchet et al. explore the technical aspects of using Zenith LP bodies (16 Fr) with Spiral Z limbs (14-16 Fr) - the 'LP-Z combo'. The paper presents the application of this combination in 50 patients - without the use of adjuncts such as conduits/angioplasties - where challenging iliac anatomy has precluded standard endovascular repair (EVAR).