SAIMSARA Journal

Machine-Readable Science • ISSN 3054-3991

Viabahn Stent Graft and VBX Endoprosthesis: Scoping Review with ☸️SAIMSARA.

Cardiac & Vascular Health icon

Cardiac & Vascular Health

Issue 1, Volume 1, 2026

DOI: 10.62487/saimsarae1c09738

Editorial note
• Last update: 2026-05-29 22:56:49
What is this paper about
Viabahn is not one device story but a whole vascular strategy: emergency bleeding control, femoropopliteal reconstruction, dialysis-access salvage, aneurysm exclusion, and complex aortic bridging all appear in the evidence map. The full review separates where Viabahn and VBX look durable from where patency depends heavily on anatomy, sizing, runoff, mobility zones, and antiplatelet planning.
Human-verified editorial review Verified by World ID proof-of-human. This editorial layer was submitted from a SAIMSARA account verified as a unique human.


Abstract: To map and synthesize original studies addressing the use, outcomes, complications, predictors of patency, and emerging procedural applications of Viabahn stent grafts and Viabahn VBX endoprostheses across vascular territories. The review uses 144 references and builds its evidence map from 313 original studies with 12701 total participants/sample observations (topic-deduplicated ΣN). The mapped evidence indicates that Viabahn and Viabahn VBX devices function as versatile covered conduits with consistently high immediate technical success, but durability is strongly shaped by indication, anatomy, sizing, and adjunctive therapy rather than by the device itself. Recurrent signals across femoropopliteal, dialysis access, and aneurysm applications suggest that primary patency varies widely while secondary patency often remains favorable, as illustrated by 36-month primary patency of 40.6% alongside secondary patency of 96.9% in very long femoropopliteal lesions. Comparative data also highlight modifiable factors, including a reduction in 12-month restenosis from 27.3% to 8.2% with adjunctive cilostazol, and configuration-dependent dialysis access outcomes. These findings support a role for Viabahn as an anatomy- and indication-specific strategy embedded within structured surveillance and antiplatelet planning. Future randomized comparative trials with harmonized patency endpoints across defined vascular beds are needed to clarify where Viabahn offers durable advantage over alternative covered, drug-eluting, or surgical options.

Keywords: Viabahn stent graft; Endovascular treatment; Arterial injury; Pseudoaneurysm; Femoropopliteal disease; Stent patency; Hemodialysis access; Visceral artery injury; Carotid blowout syndrome; Stent thrombosis

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Reference Index (144)

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