UPDATE
1
__Establish sheaths and up-and-over throughwire via snare technique.
2
__Advance Iliac Branch Component over both wires on GORE® EXCLUDER® Iliac Branch Endoprosthesis treatment side.
3
__Withdraw sheath below GORE® EXCLUDER® Iliac Branch Endoprosthesis and align radiopaque marker ring above internal iliac ostium.
4
__Deploy Iliac Branch Component (pull white outer deployment knob) and advance 12 Fr x 45 cm flexible sheath over bifurcation and into internal iliac gate.
5
__Cannulate internal iliac artery with third guidewire. Partially deployed Iliac Branch Component can be repositioned by:
A) Rotating up to 90˚ in either direction, or
B) Moving distally, to facilitate access to the internal iliac artery.
6
__Advance Internal Iliac Component and align short Internal Iliac Component radiopaque marker with long Iliac Branch Component radiopaque marker.
7
__Deploy Internal Iliac Component and balloon overlap with Iliac Branch Component and seat within internal iliac artery. Remove up-and-over throughwire.
8
__Deploy external iliac leg of Iliac Branch Component (pull gray inner deployment knob).
9
__Exchange the 12 Fr flexible sheath for an 18 Fr sheath. Advance and deploy the Trunk-Ipsilateral Leg Endoprosthesis of the GORE® EXCLUDER® Device.
10
__Advance and deploy 23 or 27 mm diameter Contralateral Leg as bridging component.
__Step 1
First stage TAMBE Aortic Component deployment.
__Step 2
Unconstrain proximal anchors and cannulate branch vessels.
__Step 3
Second stage TAMBE Aortic Component deployment.
__Step 4
Deploy Branch Component in 3 of 4 branches.
__Step 5
Final stage TAMBE Aortic Component deployment.
__Step 6
Deploy Branch Component in remaining branch.
__Step 7
First stage Distal Bifurcated Component (DBC) deployment.
__Step 8
Contralateral Leg Component deployment and extension as necessary.
__Step 9
Final stage DBC deployment and extension as necessary. Balloon seal zones.
__a Use of the VIABAHN® VBX Balloon Expandable Endoprosthesis in the 15, 19, 29mm lengths and 8L, 10, 11mm diameter
device have not been evaluated for compatibility with the TAMBE Aortic Component
b Secondary balloon required to post-dilate the stent beyond its nominal deployed diameter (Secondary balloon not included).
__*Not all catalogue numbers are available in all markets
__*Not all catalogue numbers are available in all markets
