Gore EXCLUDER® Conformable AAA Endoprosthesis with ACTIVE CONTROL System
The Gore EXCLUDER® Conformable AAA Endoprosthesis with ACTIVE CONTROL System is the only on-label EVAR solution for patients with highly angulated or short aortic necks. Built on the proven performance of the GORE® EXCLUDER® Device family, it combines a conformable stent graft with an innovative delivery system to give clinicians a new degree of control in challenging anatomy.
Anatomical Indications
- Short neck length — down to 10 mm
- High neck angulation — up to 90°
- Small diameter neck — down to 16 mm
Key Device Features
- Adapts to challenging anatomy — Nesting stent rows achieve optimal aortic wall apposition; individual stent rings conform closely to maximize the seal zone.
- Improved repositioning — Reconstrainable proximal anchors allow refined positioning; initial trunk deployment at approximately 70% diameter for controlled placement.
- Orthogonal placement control — Optional angulation control at two deployment stages helps optimize seal in highly angulated necks.
- Active infrarenal fixation — Anchors engineered for migration resistance with reduced risk of renal impairment.
Clinical Outcomes – 1-Year Follow-Up (Neck Angles 60°–90°)
- 97.9% technical success
- 98.9% freedom from device-related serious adverse events
- Zero reported Type III endoleaks, migrations, ruptures, or stent fractures
- 4 Type I endoleaks
- 1 conversion to open repair
- 1 device occlusion
AAA Diameter Change at 1 Year
- ↓ 26 patients (34.7%) — ≥5 mm decrease
- → 48 patients (64.0%) — no change
- ↑ 1 patient (1.3%) — ≥5 mm increase
Available Sizes
Aortic Extender Components
| Item Number | Diameter | Length | Sheath |
|---|---|---|---|
| CXA200005E | 20 mm | 4.5 cm | 15 Fr |
| CXA230005E | 23 mm | 4.5 cm | 15 Fr |
| CXA260005E | 26 mm | 4.5 cm | 15 Fr |
| CXA280005E | 28 mm | 4.5 cm | 16 Fr |
| CXA320005E | 32 mm | 4.5 cm | 18 Fr |
| CXA360005E | 36 mm | 4.5 cm | 18 Fr |
Trunk Components
| Item Number | Proximal Ø | Distal Ø | Length | Sheath |
|---|---|---|---|---|
| CXT201212E | 20 mm | 12 mm | 12 cm | 15 Fr |
| CXT201412E | 20 mm | 14.5 mm | 12 cm | 15 Fr |
| CXT231412E | 23 mm | 14.5 mm | 12 cm | 15 Fr |
| CXT261412E | 26 mm | 14.5 mm | 12 cm | 16 Fr |
| CXT281412E | 28.5 mm | 14.5 mm | 12 cm | 16 Fr |
| CXT321414E | 32 mm | 14.5 mm | 14 cm | 18 Fr |
| CXT361414E | 36 mm | 14.5 mm | 14 cm | 18 Fr |