📊 Evidence-Based Reference

viabahn endoprosthesis

W.L. Gore & Associates

Summary: The Viabahn Endoprosthesis is a stent graft used primarily for treating peripheral artery disease. Key evidence highlights its effectiveness in maintaining vessel patency with a notable safety profile.

FDA Clearance Information

Pathway 510K
Decision Date January 8, 2002
Product Code JCT
Device Class Class 2
Evidence 33 studies

The Viabahn Endoprosthesis was cleared by the FDA via the 510(k) pathway on January 8, 2002. It is manufactured by W.L. Gore & Associates and is classified as a Class 2 device.

What It Is

The Viabahn Endoprosthesis is a flexible, self-expanding stent graft designed for endovascular treatment of peripheral artery disease. It is intended to improve blood flow in occluded or stenotic vessels, particularly in the superficial femoral artery.

Clinical Applications

Commonly used in the treatment of peripheral artery disease, the Viabahn Endoprosthesis is applied in scenarios such as in-stent restenosis and complex femoropopliteal lesions. It is often utilized when traditional surgical revascularization has failed.

Evidence Summary

The available literature includes 15 studies, comprising prospective and retrospective analyses, with publication years ranging from 2024 to 2025. These studies evaluate the device's efficacy and safety in various clinical settings.

Reported Outcomes

Published studies report that the Viabahn Endoprosthesis achieves primary patency rates of 62.4% and secondary patency rates of 82.3% over five years. Freedom from target lesion revascularization is reported at 75.9%, with a mean improvement in Rutherford class of 2.3.

Safety Profile

Reported complications include a cumulative device-related serious adverse event rate of 19.9%, with 9.3% occurring after the first year. Notably, no stent fractures were observed in the studies reviewed.

Evidence Limitations

The evidence is limited by the relatively short follow-up periods and the lack of randomized controlled trials. Further research is needed to assess long-term outcomes and to compare the Viabahn Endoprosthesis with alternative treatments.

Linked Studies (20)

PubMed • 2025

Popliteal Arteriovenous Fistula Diagnosed Eight Years after Total Knee Arthroplasty. Endovascular Treatment with Viabahn® Endoprosthesis and Five-Year Follow-Up.

Reports (MDPI)

Other View Source →
PubMed • 2024

Mid-Term Outcomes of the Viabahn Balloon-Expandable Endoprosthesis as Bridging Stent Graft for Fenestrated and Branched Endovascular Aortic Repair.

Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2024

Laser Atherectomy and Restenting of the Superficial Femoral Artery Using GORE VIABAHN Endoprosthesis Following Failure of Both Bare-Metal Stenting and Surgical Revascularization.

Case reports in vascular medicine

View Source →
PubMed • 2024

Five-year outcomes of the GORE VIABAHN Endoprosthesis for the treatment of complex femoropopliteal lesions from a Japanese postmarket surveillance study.

Vascular medicine (London, England)

Prospective View Source →
PubMed • 2024

Three-Year Results of the GORE VIABAHN Endoprosthesis in the Superficial Femoral Artery for In-Stent Restenosis.

Journal of the Society for Cardiovascular Angiography & Interventions

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2024

Erratum: Three-Year Results of the GORE VIABAHN Endoprosthesis in the Superficial Femoral Artery for In-Stent Restenosis.

Journal of the Society for Cardiovascular Angiography & Interventions

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2024

Viabahn endoprosthesis for femoropopliteal aneurysm repair: safety, success rates, and long-term patency.

CVIR endovascular

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2023

FORWARD Study of GORE VIABAHN Balloon-Expandable Endoprostheses and Bare Metal Stents in the United States, European Union, United Kingdom, Australia, and New Zealand When Placed to Treat Complex Iliac Occlusive Disease: Protocol for a Randomized Superiority Trial.

JMIR research protocols

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2023

Use of real-world data and clinical registries to identify new uses of existing vascular endografts: combined use of GORE EXCLUDER Iliac Branch Endoprosthesis and GORE VIABAHN VBX Balloon Expandable Endoprosthesis.

BMJ surgery, interventions, & health technologies

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2022

Outcomes of Gore iliac branch endoprosthesis with internal iliac component versus Gore Viabahn VBX.

Journal of vascular surgery

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2022

Twelve-Month Outcomes From the Japanese Post-Market Surveillance Study of the Viabahn Endoprosthesis as Treatment for Symptomatic Peripheral Arterial Disease in the Superficial Femoral Arteries.

Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2022

Individual patient data meta-analysis of patients treated with a heparin-bonded Viabahn in the femoropopliteal artery for chronic limb-threatening ischemia.

Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2021

Outcomes of chimney and fenestrated endografting using Viabahn VBX and atrium iCAST stents.

The Journal of cardiovascular surgery

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2021

Performance of the Gore VBX Balloon Expandable Endoprosthesis as Bridging Stent-Graft in Branched Endovascular Aortic Repair for Thoracoabdominal Aneurysms.

Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2021

Bail-out technique to detach a locked Viabahn endoprosthesis in branched thoracic endovascular aortic repair.

Journal of vascular surgery cases and innovative techniques

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2020

First/Preliminary Experience of Gore Viabahn Balloon-Expandable Endoprosthesis as Bridging Stent in Fenestrated and Branched Endovascular Aortic Repair.

Annals of vascular surgery

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2015

Surgeon custom-made iliac branch device to salvage hypogastric artery during endovascular aneurysm repair.

Journal of Korean medical science

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2014

Transaortic modification of the Viabahn open revascularization technique (VORTEC) to facilitate renal artery revascularization in a hybrid EVAR procedure.

Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2012

ViPS (Viabahn Padova Sutureless) technique: preliminary results in the treatment of peripheral arterial disease.

Annals of vascular surgery

Other View Source →
PubMed • 2012

New surgical and hybrid techniques for crural and pedal anastomoses.

The Journal of cardiovascular surgery

RCT|prospective|retrospective|case Series|other View Source →

Frequently Asked Questions

What are the clinical indications for Viabahn Endoprosthesis?

The Viabahn Endoprosthesis is indicated for the treatment of peripheral artery disease, particularly in cases of in-stent restenosis and complex femoropopliteal lesions.

What outcomes have been reported in clinical studies?

Clinical studies have reported primary patency rates of 62.4% and secondary patency rates of 82.3% over five years, with significant improvements in Rutherford class.

What complications have been reported?

Reported complications include a 19.9% rate of device-related serious adverse events, with no observed stent fractures.

Disclaimer: This page compiles publicly available regulatory and published clinical evidence for educational reference. It does not constitute medical advice, product endorsement, or a recommendation for clinical use. Always consult manufacturer documentation and clinical judgment for patient care decisions.

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