The E‑vita open plus (JOTEC GmbH) is an endoluminal stent graft system designed for treating aneurysms and dissections of the thoracic aorta. The device is a 1-piece polyester fabric tube which combines a conventional vascular graft attached to an endovascular stent graft that allows treatment of the ascending aorta at the same time as the arch and descending aorta. The E‑vita open plus supersedes its immediate predecessor device, the E‑vita open. The 2 devices are similar in design and function but the E‑vita open plus is impermeable to blood, and fibrin glue is not needed to seal the stent graft.
The assessment report concluded that E-vita open plus can be used for some people, depending on the type of operation they need. Hospital teams may want to use the E-vita open plus because it could avoid the need for a second operation, and could save money in the long term (around 2 years after the procedure).
Published December 2013
NICE page: https://www.nice.org.uk/guidance/mtg16