Abstract
The Talent bifurcated stent-graft system is a modular-type endoluminal prosthesis designed for exclusion of abdominal aortic aneurysm. Unique features include a bare proximal spring for transrenal fixation and the manufacturer's customization to fit a wide range of sizes and morphologies. Success of endoluminal exclusion is largely dependent on precise preoperative measurements and stent-graft design, as well as technical execution of the implant, including troubleshooting and problem solving. The most common challenges relate to morphology and/or short length of the proximal neck, and anatomy and/or small size of the access iliac arteries. Useful technical alternatives and troubleshooting maneuvers have evolved that are likely to maximize success and decrease complications. Overall, the Talent aortic endograft performs very satisfactorily. The newly designed low profile system is likely to increase applicability and technical success through a reduction in the profile of the delivery sheath.
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