USE IN CHEVAR PROCEDURE Endurant II/IIs Stent Graft Systems

The Endurant™ II/IIs stent graft is the first device approved for use in ChEVAR procedures – chimney endovascular aortic repair. Where approved for this use, Endurant II/IIs stent graft is indicated for use in patients with >2 mm neck length and <60⁰ infrarenal angle.*

Medtronic is the first and only company to provide a standardized, off-the-shelf alternative for juxtarenal with short neck aneurysm patients.

Endurant II Stent Graft Deployed

Endurant II/IIs Stent Graft Deployed

Deployment of the Endurant II/IIs Stent Graft for ChEVAR

View an animation of the procedure.
Maggiori informazioniLess information (see less)

* All indications related to Endurant II/IIs Stent Graft System are not approved globally. Please check your local regulatory approval status. Refer to the complete Instructions for Use manual of the Endurant II/IIs stent graft system for the indications approved in your geography.

CLINICAL OUTCOMES

The PROTAGORAS study1 evaluated the performance of the Endurant™ II stent graft for patients with pararenal pathologic processes that were treated by the chimney/snorkel endovascular technique.

Standardized use of the Endurant II stent graft for ChEVAR demonstrated:

  • N = 128 patients
  • 24.6 months mean radiologic follow-up (0-61 months)
    • 100% technical success
    • New onset of Type Ia endoleaks: 1.6%
    • Primary patency of chimney grafts: 95.7%
    • AAA sac diameter regression/stability: 90.6%
    • Freedom from chimney graft-related reinterventions: 93.1%
pdf Endurant II/IIs Stent Graft Sales Aid (.pdf)

Use this guide for clinical and technical details for ChEVAR with the Endurant II/IIs stent graft.

1.4MB

Donas KP, Torsello GB, Piccoli G, et al. PROTAGORAS Study to Evaluate the Performance of the Endurant II Stent Graft for Patients with Pararenal Pathologic Processes Treated by the Chimney/Snorkel Endovascular Technique. J  Vasc Surg. 2016 Jan;63(1):1-7.

STENT SIZING

The Endurant II/IIs/AUI stent graft size configurations.

Proximal Diameter

Vessel Inner Diameter:
Infrarenal EVAR

Vessel Inner Diameter:
ChEVAR

23

19-20

n/a

25

21-22

19-20

28

23-25

21-23

32

26-28

24-26

36

29-32

27-30

pdf Endurant II/IIs Stent Graft Sizing Sheet for ChEVAR (.pdf)

Use this tool to plan case specifics such as sizing and placement.

525KB

GETTING STARTED: PREPARING FOR THE CASE

Recommended ancillary equipment:

  • Wires: Terumo™*, 0.014” and Rosen™* 0.035"1
  • Catheters: Vertebral (120-150 cm) and MPA (125 cm)1
  • Sheath: Shuttle™* (Cook), 7 F and 90 cm shaft1
  • Balloon expandable covered stent for use in the renal arteries2
  • Reliant stent graft balloon2

Third party brands are trademarks of their respective owners.

1 Torsello GB: Therapy of AAA with Short or No Neck. Presentation at LINC 2015.

2 Medtronic Endurant II/IIs stent graft Instructions for Use.