Experience with the TriVascular Ovation iX Stent Graft System

Experience with the
TriVascular Ovation iX Stent
Graft System
JONATHAN GHOSH MA MD FRCS
Consultant Vascular Surgeon
University Hospital of South Manchester UK
Disclosure
Speaker name:
Jonathan Ghosh
I have the following potential conflicts of interest to report:
Consulting
Employment in industry
Stockholder of a healthcare company
Owner of a healthcare company
X Other(s) Travel/education grant
I do not have any potential conflict of interest
TriVascular Ovation System
•  Polymer-filled 'O'- ring
•  Circumferential seal at midpoint of
sealing ring at 13mm
•  No conventional neck length
requirement: proximal landing zone
based on aortic diameter 13mm
below the inferior renal artery
Ovation iX: Integrated Exchange
• Integrated leave behind sheath
• Integrated cross-over lumen
Blue Cap
Crossover Lumen Port
Guidewire Lumen
0.018 wire exits
contralateral leg
Insert 0.018 wire
into handle port
Ovation iX: Integrated Exchange
•  Integral sheath
•  10 - 13F ID / 12 - 15F OD
•  Iliac limb diameters up to 25mm
max vessel
•  Iliac limb lengths up to 160mm
Up to 160mm length
Up to 28mm
diameter
Case Example: 69 female / 60mm
AAA
Angulated neck
5-6mm access
Capacious aneurysm body
Low anaerobic threshold
.018” wire through cross-over
lumen
.018” Guide wire in
cross-over lumen
exits contra leg
Snare wire and externalize
through contra access site
Wire snared
from contra
side
Video courtesy Dr. Wayne Nelson, Oregon
USA / Trivascular
Advance catheter & buddy wire
Buddy wire
advanced
through to
aorta
Cross-over
wire
retracted
Catheter
advanced
over contra
wire
Contra limb
deployed
and
procedure
completed
Video courtesy Dr. Wayne Nelson, Oregon
USA / Trivascular
Completion
Completion
Experience
•  26 iX cases
• 
• 
• 
• 
• 
100% procedural success
No device related endoleak
No limb occlusion
No reintervention
No mortality
•  'Work horse' device and use in advanced
cases
Ovation iX System Summary
•  Broad applicability
–  Low profile and seal concept
•  Crossover lumen assists cannulation
–  In hostile anatomy
–  Anticipated molding of o-ring
Experience with the
TriVascular Ovation iX Stent
Graft System
JONATHAN GHOSH MA MD FRCS
Consultant Vascular Surgeon
University Hospital of South Manchester UK