Uw webbrowser is verouderd

Met een bijgewerkte browser heeft u een betere ervaring met de website van Medtronic. Werk mijn browser nu bij.

×

Skip to main content

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.

Image showing Endurant II/IIs deployed

Endurant II/IIs Stent Graft Deployed

* 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.

1.3MB

1 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.

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.