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Valiant Captivia Stent Graft with the Captivia Delivery System for Thoracic Endovascular Aortic Repair (TEVAR)

  

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Overview

Proven design and performance offer a broad set of options to treat a wide range of patient anatomies. With more than 100,000 patients treated worldwide, the Valiant™ Captivia™ stent graft system is designed to treat all lesions of the descending thoracic aorta, including thoracic aortic aneurysms (TAA), type B aortic dissection (TBAD), intramural hematoma (IMH), penetrating atherosclerotic (PAU), and blunt thoracic aortic injury (BTAI).

Indications

The Valiant™ thoracic stent graft with the Captivia™ delivery system is indicated for treatment of diseases of the descending thoracic aorta, including but not limited to, aneurysms and dissections. The Valiant thoracic stent graft is indicated for exclusion of the aneurysm, the false lumen or site of rupture, and restoration of blood flow through the stent graft lumen. The device is intended for use in patients who are candidates for conventional surgical repair, and in patients who are not candidates for conventional surgical repair due to pre-existing risk factors.

Product details

Deploy durability with Valiant™ Captivia™ system

Valiant™ Captivia™ thoracic stent graft system maintains vessel wall apposition and fixation, regardless of angulation and oversizing.1 Clinically supported by low type Ia endoleak rate (0% at 5 years).2 The stent graft system has over a decade of worldwide experience and has been chosen for over 150,000 patients worldwide. It has five years of clinical data across all descending thoracic aortic pathologies.2–4

Valiant™ thoracic stent graft with Captivia™ delivery system shown pre-insertion next to fluoro image of stent in vessel wall

Case image courtesy of Dr. Roy M. Fujitani, M.D.

 

Conformability

  • Sinusoidal shape and placement of nitinol springs provide flexibility and conformability.
  • Super-elastic nitinol springs exert active radial force to enhance seal and conformability.

Accuracy

  • Tip capture provides controlled deployment and precise placement in the thoracic aorta.
  • Tip capture release handle provides simple turn-and-pull motion to release proximal stents.

Optimised Access

  • Crossing profile is similar to or lower than other thoracic stent grafts.
  • Hydrophilic coating facilitates stent graft delivery.
  • Easy three-step deployment process.

 

Optimal Seal

  • Sinusoidal shape and placement of nitinol springs provide flexibility and wall apposition.
  • Super-elastic nitinol springs exert active radial force to enhance seal and apposition.

Precise Deployment

  • Tip capture provides controlled deployment and precise placement in the thoracic aorta.
  • Tip capture release handle provides simple turn-and-pull motion to release proximal stents.

Ease of Access

  • Crossing profile is similar to or lower than other thoracic stent grafts.
  • Hydrophilic coating facilitates stent graft delivery.
  • Three-step deployment with tip capture release provides precise stent graft placement.


 

Valiant™ Thoracic Stent Graft with Captivia™ Delivery System Features

  1. Proximal FreeFlo configuration: The proximal 8-peak FreeFlo configuration evenly distributes radial force over multiple apices.
  2. Optimal seal: Absence of a longitudinal bar allows for enhanced flexibility and kink resistance.
  3. Visible markers: Platinum-iridium Figur8 markers provide high visibility for accurate placement.
  4. Broad selection of pieces: Broad selection of proximal and distal components leads to many combinations to customize for a variety of patients.
Close-up images of the Valiant thoracic stent graft design highlighting key product features

Clinician experiences

Dr. Jean Panneton Conformability Video - (03:07)

Watch this video and hear Dr. Panneton discuss how Valiant Captivia is highly flexible and conformable due to its sinusoidal shape, super‑elastic nitinol springs, and lack of a longitudinal bar.
More information (see more) Less information (see less)

Dr. Hitoshi Matsuda Dissection Video - (02:10)

Watch this video and hear Dr. Matsuda review a type B aortic dissection case he treated with TEVAR, which provides a minimally invasive alternative to open surgical repair.
More information (see more) Less information (see less)

Features

How does Valiant™ Captivia™ system maintain a continuous seal in a dynamic environment?

Achieving and maintaining a continuous seal is critical for TEVAR durability.

  • The Valiant™ Captivia™ system establishes and maintains a continuous seal and optimizes apposition in a dynamic environment.
  • It is the only device that maintains complete vessel wall apposition regardless of angulation and oversizing.1

Continuous seal

  • Eight peak proximal stent design ensures even distribution of radial force for complete vessel wall apposition.
  • Mini support spring enhances proximal apposition and seal.
Valiant™ thoracic stent graft with a close-up showing the eight peak proximal stent design and support spring

Ease of access

  • Crossing profile is similar to or lower than other thoracic stent grafts for ease of access.
  • Hydrophilic coating facilitates stent graft delivery.
Captivia™ delivery system shown horizontally

Precise deployment

  • Platinum-iridium Figur8 markers provide high visibility for accurate placement. 
  • Three-step deployment with tip capture release provides controlled deployment and precise placement in the thoracic aorta.
Gloved hand showing step one of the Valiant™ Captivia™ system deployment, a slow, controlled deployment for precise placement

Step 1

Slow, controlled deployment for precise placement

Gloved hand showing step two of the Valiant™ Captivia™ system deployment, a quick deployment option

Step 2

Quick deployment option, if desired

Gloved hand showing step three of the Valiant™ Captivia™ system deployment, a tip capture release

Step 3

Tip capture release

Flexible Valiant™ stent graft next to family of stent grafts to show broad selection of components for customization
  • Absence of a longitudinal bar allows for enhanced flexibility and kink resistance.
  • Broad selection of proximal and distal components leads to many combinations to customize for a variety of patients.

Manuals and technical guides

Instructions for use

Find this technical manual in the Medtronic Manual Library, in the product labeling supplied with each device.

Model specifications

pdf#page=1 Valiant Stent Graft Sizing Sheet  (.pdf#page=1)

Use this tool to plan case specifics such as sizing and placement.

pdf#page=2 Ordering Information (.pdf#page=2)

See model specs including stent graft lengths, diameters, tapers, and crossing profiles.

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View presentations and videos, and find other educational resources.

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1. Canaud L, Cathala P, Joyeux F, Branchereau P, Marty-Ané C, Alric P. Improvement in conformability of the latest generation of thoracic stent grafts. J Vasc Surg. 2013;57(4):1084–1089. doi: 10.1016/j.jvs.2012.09.019

2. Conrad MF, Tuchek J, Freezor R, Bavaria J, White R, Fairman R. Results of the VALOR II trial of the Medtronic Valiant thoracic stent graft. J Vasc Surg. 2017;66(2):335–342. doi: 10.1016/j.jvs.2016.12.136.

3. Bavaria JE, Brinkman WT, Hughes GC, et al. Five-year outcomes of endovascular repair of complicated acute type B aortic dissections. J Thorac Cardiovas Surg. 2022;163(2):539–548.e2. doi: 10.1016/j.jtcvs.2020.03.162.

4. Patal HJ, Azizzadeh A, Matsumoto AH, et al. Five-year outcomes from the United States pivotal trial of Valiant Captivia stent graft for blunt aortic injury. Ann Thorac Surg. 2020;110(3):815–820. doi: 10.1016/j.athoracsur.2019.12.028.

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