Healthcare Professionals

Valiant Thoracic Stent Graft with the Captivia Delivery System

TEVAR Procedures

Overview

Select the Valiant™ thoracic stent graft with the Captivia™ delivery system for your TEVAR (thoracic endovascular aortic repair) procedures. Designed to provide unsurpassed conformability, control, and accuracy, the stent graft system offers a broad set of options to treat a wide range of patient anatomies. With more than 100,000 patients treated worldwide,* the Valiant stent graft has a proven track record of success in treating all lesions of the descending thoracic aorta.

INDICATIONS  

See the device manual for detailed information regarding the instructions for use, indications, contraindications, warnings, precautions, and potential adverse events. For further information, contact your local Medtronic representative and/or consult the Medtronic Europe website.

The Valiant™ Thoracic Stent Graft System with the Captivia™ Delivery System is intended for the endovascular repair of all lesions of the descending thoracic aorta (DTA) in patients having appropriate anatomy, including:

  • Iliac/femoral access vessel morphology that is compatible with vascular access techniques, devices, and/or accessories;
  • Nonaneurysmal aortic diameter in the range of 18 mm to 42 mm (fusiform and saccular aneurysms/penetrating ulcers), 18 mm to 44 mm (blunt traumatic aortic injuries), or 20 mm to 44 mm (dissections); and
  • Nonaneurysmal aortic proximal and distal neck lengths ≥15 mm (fusiform and saccular aneurysms/penetrating ulcers), landing zone ≥15 mm proximal to the primary entry tear (blunt traumatic aortic injuries, dissections). The proximal extent of the landing zone must not be dissected.

PRODUCT DETAILS

Features

The Valiant Captivia system is built on our 19+ years of thoracic stent graft experience. The Valiant stent graft has a unique, durable design that is flexible, conforms to individual patient anatomy, and ensures accurate placement.

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.

Optimized Access

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

 

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. Enhanced conformability: 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.
Valiant Thoracic Stent Graft with Captivia Delivery System Features

Clinician Experiences

Selection of the Valiant Thoracic Stent Graft with the Captivia Delivery System - (03:46)

Leading clinicians discuss why they choose the Valiant Captivia stent graft system for their patients.
Meer informatie Less information (see less)

Accuracy - (03:15)

The three-step Captivia delivery system enables simple graft adjustment and precise placement within the thoracic aorta.
Meer informatie Less information (see less)

Conformability - (03:41)

The Valiant stent graft is highly flexible and conformable due to its sinusoidal‑shape, super‑elastic nitinol springs, and lack of a longitudinal bar.
Meer informatie Less information (see less)

Dissection - (02:50)

The Valiant Captivia stent graft system is approved for the treatment of Type B aortic dissections, which provides a minimally invasive alternative to open surgical repair.
Meer informatie Less information (see less)

Controlled Deployment with Tip Capture

The Captivia delivery system allows for control and accurate placement of the stent graft at every step of deployment across a range of anatomies.

Controlled Deployment with Tip Capture

Controlled Deployment with Tip Capture

  1. Deployment
  2. Captured
  3. Released

 

Deployment of the Valiant Thoracic Stent Graft with the Captivia Delivery System - (04:32)

View an animation of the three-step deployment process.
Meer informatie Less information (see less)

EASY THREE-STEP DEPLOYMENT PROCESS

Features of the Captivia Delivery System

Step 1
Slow, controlled deployment for precise placement.

Features of the Captivia Delivery System

Step 2
Quick deployment option, if desired.

Features of the Captivia Delivery System

Step 3
Tip capture release.

 

Data on file at Medtronic.

Manuals and Technical Guides

Instructions for Use
Find this technical manual in the product labeling supplied with each device.

MODEL SPECIFICATIONS

pdf Valiant Stent Graft Sizing Sheet  (.pdf)

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

194KB

Ordering Information: Proximal FreeFlo Straight

Combine the first six columns for the product code.  

  Proximal Graft
Diameter
(mm)
Distal Graft
Diameter
(mm)

Distal
Design

      Catheter
Outer
Diameter
(F)
Stent Graft
Covered
Length
(mm)
VAMF 22 22 C 100 TE   22 112
VAMF 24 24 C 100 TE   22 112
VAMF 26 26 C 100 TE   22 112
VAMF 28 28 C 100 TE   22 117
VAMF 30 30 C 100 TE   22 117
VAMF 32 32 C 100 TE   22 117
VAMF 34 34 C 100 TE   24 107
VAMF 36 36 C 100 TE   24 107
VAMF 38 38 C 100 TE   24 107
VAMF 40 40 C 100 TE   24 107
VAMF 42 42 C 100 TE   25 112
VAMF 44 44 C 100 TE   25 112
VAMF 46 46 C 100 TE   25 112
VAMF 22 22 C 150 TE   22 152
VAMF 24 24 C 150 TE   22 152
VAMF 26 26 C 150 TE   22 152
VAMF 28 28 C 150 TE   22 157
VAMF 30 30 C 150 TE   22 157
VAMF 32 32 C 150 TE   22 157
VAMF 34 34 C 150 TE   24 167
VAMF 36 36 C 150 TE   24 167
VAMF 38 38 C 150 TE   24 167
VAMF 40 40 C 150 TE   24 167
VAMF 42 42 C 150 TE   25 157
VAMF 44 44 C 150 TE   25 157
VAMF 46 46 C 150 TE   25 162
VAMF 30 30 C 200 TE   22 192
VAMF 32 32 C 200 TE   22 192
VAMF 34 34 C 200 TE   24 212
VAMF 36 36 C 200 TE   24 207
VAMF 38 38 C 200 TE   24 207
VAMF 40 40 C 200 TE   24 212
VAMF 42 42 C 200 TE   25 207
VAMF 44 44 C 200 TE   25 212
VAMF 46 46 C 200 TE   25 212

 

Ordering Information: Proximal FreeFlo Tapered  

Combine the first six columns for the product code.

  Proximal Graft
Diameter
(mm)
Distal Graft
Diameter
(mm)
Distal
Design
      Catheter
Outer
Diameter
(F)
Stent Graft
Covered
Length
(mm)
VAMF 26 22 C 150 TE   22 152
VAMF 28 24 C 150 TE   22 157
VAMF 30 26 C 150 TE   22 157
VAMF 32 28 C 150 TE   22 157
VAMF 34 30 C 150 TE   24 167
VAMF 36 32 C 150 TE   24 167
VAMF 38 34 C 150 TE   24 167
VAMF 40 36 C 150 TE   24 167
VAMF 42 38 C 150 TE   25 157
VAMF 44 40 C 150 TE   25 157
VAMF 46 42 C 150 TE   25 162

Ordering Information: Closed Web Straight 

Combine the first six columns for the product code.

  Proximal Graft
Diameter
(mm)
Distal Graft
Diameter
(mm)
Distal
Design
      Catheter
Outer
Diameter
(F)
Stent Graft
Covered
Length
(mm)
VAMC 22 22 C 100 TE   22 105
VAMC 24 24 C 100 TE   22 105
VAMC 26 26 C 100 TE   22 105
VAMC 28 28 C 100 TE   22 110
VAMC 30 30 C 100 TE   22 110
VAMC 32 32 C 100 TE   22 110
VAMC 34 34 C 100 TE   24 100
VAMC 36 36 C 100 TE   24 100
VAMC 38 38 C 100 TE   24 100
VAMC 40 40 C 100 TE   24 100
VAMC 42 42 C 100 TE   25 105
VAMC 44 44 C 100 TE   25 105
VAMC 46 46 C 100 TE   25 105
VAMC 22 22 C 150 TE   22 145
VAMC 24 24 C 150 TE   22 145
VAMC 26 26 C 150 TE   22 145
VAMC 28 28 C 150 TE   22 150
VAMC 30 30 C 150 TE   22 150
VAMC 32 32 C 150 TE   22 150
VAMC 34 34 C 150 TE   24 160
VAMC 36 36 C 150 TE   24 160
VAMC 38 38 C 150 TE   24 160
VAMC 40 40 C 150 TE   24 160
VAMC 42 42 C 150 TE   25 150
VAMC 44 44 C 150 TE   25 150
VAMC 46 46 C 150 TE   25 155
VAMC 30 30 C 200 TE   22 185
VAMC 32 32 C 200 TE   22 185
VAMC 34 34 C 200 TE   24 205
VAMC 36 36 C 200 TE   24 200
VAMC 38 38 C 200 TE   24 200
VAMC 40 40 C 200 TE   24 205
VAMC 42 42 C 200 TE   25 200
VAMC 44 44 C 200 TE   25 205
VAMC 46 46 C 200 TE   25 205

Ordering Information: Closed Web Tapered  

Combine the first six columns for the product code.

  Proximal Graft
Diameter
(mm)
Distal Graft
Diameter
(mm)
Distal
Design
      Catheter
Outer
Diameter
(F)
Stent
Graft
Covered
Length
(mm)
VAMC 26 22 C 150 TE   22 150
VAMC 28 24 C 150 TE   22 150
VAMC 30 26 C 150 TE   22 150
VAMC 32 28 C 150 TE   22 150
VAMC 34 30 C 150 TE   24 160
VAMC 36 32 C 150 TE   24 160
VAMC 38 34 C 150 TE   24 160
VAMC 40 36 C 150 TE   24 160
VAMC 42 38 C 150 TE   25 150
VAMC 44 40 C 150 TE   25 150
VAMC 46 42 C 150 TE   25 155

 

Ordering Information: Distal Bare Spring Straight

Combine the first six columns for the product code.

  Proximal Graft
Diameter
(mm)
Distal Graft
Diameter
(mm)
Distal
Design
      Catheter
Outer
Diameter
(F)
Stent
Graft
Covered
Length
(mm)
VAMC 22 22 B 100 TE   22 112
VAMC 24 24 B 100 TE   22 112
VAMC 26 26 B 100 TE   22 112
VAMC 28 28 B 100 TE   22 117
VAMC 30 30 B 100 TE   22 117
VAMC 32 32 B 100 TE   22 117
VAMC 34 34 B 100 TE   24 107
VAMC 36 36 B 100 TE   24 107
VAMC 38 38 B 100 TE   24 107
VAMC 40 40 B 100 TE   24 107
VAMC 42 42 B 100 TE   25 112
VAMC 44 44 B 100 TE   25 112
VAMC 46 46 B 100 TE   25 112
Heli-FX

Heli-FX™ EndoAnchor™ System Implant

Heli-FX Thoracic Recommended Number of EndoAnchor Implants

  • The following is recommended based on internal testing.
  • Additional or fewer EndoAnchor implants may be placed at physician discretion.
  Recommended Minimum Number
of EndoAnchor Implants
Graft Angulation
Aortic Neck Diameter
(Proximal or Distal)
≤60° > 60° and < 75° > 75° and < 90°
≤ 29 mm 4 4 4
30-32 mm 4 4 5
33-36 mm 4 5 7
37-40 mm 5 6 8
> 40 mm 5 7 9

Sizing of the anatomy and EndoAnchor implant decisions are the responsibility of the physician.