# Innovative endovascular stapling technique using the Aortoseal device in challenging infrarenal aortic neck

## TL;DR

A new device called Aortoseal was successfully used to improve aortic aneurysm repair in a patient with challenging anatomy.

## Contribution

The paper introduces the Aortoseal Endostapling system as an innovative tool for enhancing endograft fixation in complex aortic repairs.

## Key findings

- The Aortoseal system was successfully deployed with no endoleaks observed during the procedure.
- Follow-up imaging confirmed complete aneurysm exclusion and proper device deployment.
- The device shows potential to improve long-term outcomes in endovascular aneurysm repair.

## 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.