The Endurant stent graft for endovascular aneurysm repair

Abstract

Endovascular aneurysm repair (EVAR) has become an established therapy for many patients with abdominal aortic aneurysms. This minimally invasive procedure has lower operative mortality and similar long-term survival rates compared to open surgical treatment. However, several patients are still unsuitable for EVAR because of their aneurysm neck or iliac artery anatomy, and secondly, re-intervention rates are higher after EVAR than after open aneurysm exclusion. Current challenges in the development of new stent grafts are to make more patients eligible for EVAR, including patients with challenging anatomy, and to decrease re-intervention rates. A range of different stent grafts now exist, and in the search for a device with the widest applicability and the least complications, the Endurant stent graft is a recent addition. This device offers wider inclusion criteria. Despite this, first results show comparable complication rates compared to other stent grafts, and long-term follow-up studies are underway.

Keywords::

• AAA
• abdominal aortic aneurysm
• endovascular aneurysm repair
• Endurant
• EVAR

Financial & competing interests disclosure

JA van Herwaarden and FL Moll are paid consultants for Medtronic. The authors have no other relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript apart from those disclosed.

No writing assistance was utilized in the production of this manuscript.

Key issues

• The Endurant Stent Graft has extended the suitability of endovascular aneurysm repair.

• Short- and mid-term results show similar mortality, morbidity and reintervention rates compared with other stent grafts.

• Long-term follow-up results are awaited.

Notes