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E-xtra Design MultiBranch

STENT GRAFT SYSTEM
CUSTOM-MADE DEVICE

Designed for Patient-Specific Anatomies

The E-xtra Design MultiBranch Stent Graft System is indicated for the endovascular treatment of patients with type I, II, III, IV or V thoracoabdominal aneurysms according to the Crawford classification or supra-, para- or juxtarenal abdominal aortic aneurysms or dissections extending to the thoracoabdominal aorta.

Product Highlights

  • Produced in only 22 working days
  • Can be built with different features, for example outer branches, inner branches, semi branches, twin branches, and scallops
  • Diameters, lengths, widths, and orientations are patient-specific

Product Overview

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1. SCALLOP

Can be positioned proximally or distally

L and B: lengths and widths are patient-specific

Feature Scallop

2. OUTER BRANCH

Ø 6 mm, L=15 mm
Ø 7 mm, L=16 mm
Ø 8 mm, L=17 mm
Ante- or retrograde

Feature Outerbranch

3. TWIN BRANCH

Diameters, lengths and widths are patient-specific

Feature Twinbranch

4. INNER BRANCH

Ø 6 mm, L=20 mm
Ø 7 mm, L=20.5 mm
Ø 8 mm, L=21 mm
Ante- or retrograde

Feature Innerbranch

5. SEMI BRANCH

Diameters, lengths and widths are patient-specific

Feature Semibranch

6. INTEGRATED BIFURCATION
(If needed)

Bifurcated shape: Ø10 or 13mm

Feature Bifurcation

EDM Sketch
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1. FLEXIBLE CATHETER
(GRAFT COVER)

For accurate pushability and precise trackability.

2. RELEASE HANDLE

With a squeeze-to-release mechanism.

3. CONTROL HANDLE

4. RELEASE BUTTON WITH RETAINING RING

EDM Delievery System

Clinical Evidence

The CONNECT General Study Information

  • Observational, prospective, multicenter study
  • PCI: Prof. Schelzig, Düsseldorf, Germany
  • 44 patients with thoracoabdominal aneurysm were treated
  • 8 centers (7 DE, 1 ES)
  • 3 years Follow-Up planned
  • CoreLab: Dr. Kerezsy, Passau, Germany
EDM-Chart-1-revised copy

CONNECT Study First Interim Results

  • 4-6 Week Follow-Up
Table-CONNECT-Study-First-Interim-Results

Inner branched complex aortic repair outcomes from a national multicenter registry using the E-xtra design platform (CELER Registry)

Journal: J Vasc Surg. 2023 Feb;77(2):338-346.

Authors: Simonte G, Isernia G, Gatta E, Neri E, Parlani G, Candeloro L, Schiavon S, Pagliariccio G, Cini M, Lenti M, Carbonari L, Ricci C.

Published: February 2023

EXTENT study: Medium-term outcomes of EXTra-design engineering inner-branch ENdografts for the treatment of complex aortic aneurysms from a multicenter collaboration

Journal: J Vasc Surg. 2024 Mar 11:S0741-5214(24)00431-2.

Authors: Abisi S, Zayed H, Frigatti P, Furlan F, Simonte G, Isernia G, Kuczmik W, Fattoum M, Halak M, Silverberg D, Gkoutzios P, Saha P; EXTENT Collaborators

Published: March 2024

The Semibranch: A New Tool for Complex Aortic Pathologies

Journal: J Endovasc Ther. 2023 Dec 22:15266028231219661

Authors: Oberhuber A, Simonte G, Isernia G, Schäfers J.

Published: December 2023

Additional Resources

Explore additional resources for Extra Design MultiBranch below. For further information or to contact a sales associate in your area, contact us.

iBEVAR.com

iBEVAR Case Reports

The wide Applicability of The Inner Branch Based Approach (Video)

Clinical Evidence 

1. Fernandez, C. C. et al. Standard off-the-shelf versus custom-made multibranched thoracoabdominal aortic stent grafts. J Vasc Surg 63, 1208-1215, doi:10.1016/j. jvs.2015.11.035 (2016).

2. Hu, Z. et al. Multibranched Stent-Grafts for the Treatment of Thoracoabdominal Aortic Aneurysms: A Systematic Review and Meta-analysis. J Endovasc Ther 23, 626-633, doi:10.1177/1526602816647723 (2016).

3. Data on file at JOTEC GmbH.

Caution: All products and indications are not available/approved in all markets. The availability of custom-made devices is subject to local regulatory guidelines. E-xtra Design MultiBranch Stent Graft System is a custom-made device for a particularly identified patient manufactured by JOTEC GmbH. All trademarks are owned by Artivion, Inc., or its subsidiaries. On-X Life Technologies, Inc., Jotec GmbH, and Ascyrus Medical GmbH are wholly owned subsidiaries of Artivion, Inc. MWENG0031.000 (2024-05)

JOTEC GmbH, Lotzenäcker 23, 72379 Hechingen, Germany