The Experience of Merit Wrapsody® Covered Stent for Aortoiliac Occlusive Disease: A Case Series Report

In this paper, we aimed to report the experience of Merit Wrapsody® use for aortoiliac occlusive disease. We describe a case series of reports of 8 patients submitted to endovascular repair with Merit Wrapsody® for aortoiliac disease. Merit Wrapsody® a flexible self-expanding Cell-Impermeable endoprosthesis indicated for use in hemodialysis patients for the treatment of stenosis or occlusion within the dialysis outflow circuit of an arteriovenous (AV) fistula or AV graft, consisting of Nitinol, ePTFE, PTFE structure. In a case series communication, we aimed to describe the feasibility of a PTFE-lined stent for percutaneous treatment of conditions other than AV fistula obstruction. We report the successful use of Wrapsody to percutaneously treat aortoiliac occlusive disease, including covered Endovascular Reconstruction of the Aortic Bifurcation or CERAB technique and kissing iliac stenting, successfully recanalization of post-EVAR limb occlusion and a recanalization of aorta and renal occlusive disease. This case series illustrates the feasibility of the "off-label" use of self-expanded Wrapsody endoprosthesis to percutaneously treat arterial pathology conditions, especially aortoiliac occlusive disease territory with satisfactory and excellent results.