The use of Merit Wrapsody® Covered stent for Aortoiliac Disease: An Innovative Device off the shelf

In this paper, we aimed to report the use of Merit Wrapsody® for aortoiliac disease. We describe a case series of reports of 8 patients submitted to endovascular repair with Merit Wrapsody® for aortoiliac disease. Merit Wrapsody® are flexible self-expanding 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 several arterial vascular conditions, including post-endovascular procedure common iliac artery rupture, Covered Endovascular Reconstruction of the Aortic Bifurcation or CERAB technique and kissing iliac stenting, This case series illustrates the feasibility of the "off-label" use of self-expanded Wrapsody endoprosthesis to percutaneously treat arterial pathology conditions, specially aortoiliac territory with satisfactory and excellent results.