Innovative endovascular stapling technique using the Aortoseal device in challenging infrarenal aortic neck
Abstract
We report the use of the Aortoseal Endostapling system by Endoron in a 63-year-old man with infrarenal abdominal aortic aneurysm with high-risk neck features. Endovascular abdominal aneurysm repair was performed using a Medtronic Endurant IIs endograft with an adjunctive Aortoseal system as part of an international feasibility trial. The procedure was technically successful, with no endoleaks on completion angiography. Follow-up computed tomography angiography at 1 month confirmed a well-deployed AortoSeal system and complete aneurysm exclusion. This case highlights this innovative device and the technical considerations to enhance endograft proximal fixation with the potential to improve long-term outcomes in endovascular aneurysm repair.
Fields of Study & Subjects
Aortic aneurysm repair treatments
Aortic Disease and Treatment Approaches
Intracranial Aneurysms: Treatment and Complications
Publication details
- Journal / source
- Journal of Vascular Surgery Cases and Innovative Techniques
- Volume
- 12
- Issue
- 2
- Pages
- 102144–102144
- Publication date
- 10 January 2026
- Language
- EN