The GORE® VIABAHN® VBX Balloon Expandable Endoprosthesis indication expansion brings the first bridging stent device with dual indication for both fenestrated and branched endovascular repair*.
PUTZBRUNN, Germany, July 9, 2025 /PRNewswire/ — W. L. Gore & Associates (Gore) announces CE Mark approval of an expanded indication for the GORE® VIABAHN® VBX Balloon Expandable Endoprosthesis (VBX Stent Graft) when used as a bridging stent with branched and fenestrated aortic endografts† in the treatment of aortic aneurysms involving the renal and mesenteric arteries.
“This is a landmark indication for a stent graft, equipping physicians with an on-label solution for more patients in complex pathologies,” said Prof. Luca Bertoglio, Associate Professor, Vascular Surgery, Spedali Civili Brescia and Coordinating Investigator of the EMBRACE Registry.
A total of 259 patients were enrolled in the study. High rates of patency and freedom from endoleaks, target vessel instability and reinterventions were observed with the VBX Stent Graft in both branched and fenestrated EVAR (bEVAR and fEVAR) cohorts at 1 year.
“We have studied performance in both fenestrated and branched cohorts, and the results demonstrate that we can safely and effectively treat these patients with the VBX Device,” Prof. Bertoglio added.
This multicenter, retrospective and prospective registry was conducted to evaluate the clinical performance and safety of the VBX Stent Graft as a bridging stent. A total of 14 centers in Europe enrolled 259 patients who have had treatment with the VBX Stent Graft. These subjects will have prospective follow-up visits up to 5 years after the index procedure.
“Physicians have waited some time for an approved bridging stent indication for fenestrated and branched repair. Having a CE-marked indication is very important, as it is certainly of relevance to the endovascular community and the eligible patient population,” said Prof. Mauro Gargiulo, Chair of Metropolitan Unit of Vascular Surgery at IRCCS S. Orsola Hospital, University of Bologna and Principal Investigator of the EXPAND1 Registry. “I applaud Gore for recognizing the need for a CE Mark indication and for being committed to conducting such thorough and expertly run clinical studies like EXPAND and EMBRACE.”
In the coming weeks, hospitals will start implanting the newly indicated VBX Stent Graft in fEVAR and bEVAR procedures. The official launch is planned after summer when many European and local congresses are taking place. The VBX Stent Graft offers precise delivery and supports positive outcomes in a variety of complex applications. The device was developed utilizing the small diameter, ePTFE stent graft technology from the GORE® VIABAHN® Endoprosthesis. The VBX Stent Graft is available in a range of diameters from 5 to 11 mm and lengths of 15, 19, 29, 39, 59 and also 79 mm. It is currently the longest balloon expandable stent graft available, covering a wide variety of treatment needs. The VBX Stent Graft also offers the largest range of diameter adjustability in a single device, with a maximum post-dilated diameter of up to 16 mm with 8L or 11 mm devices.†,2-5
Additional information about the EMBRACE and EXPAND clinical studies is available at https://clinicaltrials.gov/study/NCT05143138 and https://clinicaltrials.gov/study/NCT03720704
EMBRACE and EXPAND Registries are part of Gore’s dedication to research, fitness-for-use and long-term device performance in an effort to expand device indications, improve clinical practice and patient outcomes. Data will be representative of real-world, clinical use. Real-world clinical use data are integral for Gore, combined with data from long-term clinical investigations and reports from medical literature, to perform continuing assessments of device performance in addition to any long-term clinical investigations as well as reports in medical journals and congress presentations.
“This is another step in our continuing efforts to offer the broadest endovascular treatment capabilities on the market. This announcement is the culmination of years of deep collaboration with physicians aimed at understanding and overcoming clinical and technical challenges in complex aortic repair,” according to Jill Paine, leader of Gore’s Peripheral Business.
For more information about the VBX Stent Graft, visit goremedical.com/eu.
Gore engineers medical devices that treat a range of cardiovascular and other health conditions. With more than 55 million medical devices implanted over the course of more than 45 years, Gore builds on its legacy of improving patient outcomes through research, education and quality initiatives. Product performance, ease of use and quality of service provide sustainable cost savings for physicians, hospitals and insurers. Gore is joined in service with clinicians and through this collaboration we are improving lives.
About Gore
W. L. Gore & Associates is a global materials science company dedicated to transforming industries and improving lives. Since 1958, Gore has solved complex technical challenges in demanding environments — from outer space to the world’s highest peaks to the inner workings of the human body. With more than 13,000 Associates and a strong, team-oriented culture, Gore generates annual revenues of $5 billion.
gore.com.
* |
Indication applicable to GORE® VIABAHN® VBX Balloon Expandable Endoprosthesis. New evaluation of reduced profile delivery is underway. |
† |
For complete indications and other important safety information for Gore commercial products referenced herein, refer to the applicable Instructions for Use (IFU). |
1. |
Gore completes enrollment in the GORE® VIABAHN® VBX Balloon Expandable Endoprosthesis EXPAND Registry Press Release. Gore Medical Products website. Accessed March 20, 2025. https://www.goremedical.com/eu/news/expand-registry-enrollment-gore-vbx-2022-10 |
2. |
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BD® LIFESTREAM® Balloon Expandable Vascular Covered Stent [Instructions for Use]. Tempe, AZ: Bard Peripheral Vascular, Inc; 2016. PK1345700 Rev. 4 07/16. |
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Advanta V12 balloon expandable Covered Stent [Instructions for Use]. Merrimack, NH; Atrium Medical Corporation. |
5. |
iCover Peripheral balloon expandable PTFE covered stent system [Instructions for Use]. Barcelona, Spain. iVascular S.L.U. |
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