ORCID

0000-0002-0786-179X (Germano), 0000-0003-1366-3906 (Dexter)

Document Type

Article

Publication Date

2026

DOI

10.1016/j.jvscit.2026.102144

Publication Title

Journal of Vascular Surgery Cases, Innovations and Techniques

Volume

Advance online publication

Pages

1-4

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.

Rights

© 2026 The Authors.

This is an open access article under the Creative Commons Attribution 4.0 International (CC BY 4.0) License.

Original Publication Citation

Germano, E., Rathore, A., & Dexter, D. J. (2026). Innovative endovascular stapling technique using the aortoseal device in challenging infrarenal aortic neck. Journal of Vascular Surgery Cases, Innovations and Techniques. Advance online publication. https://doi.org/10.1016/j.jvscit.2026.102144

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