Endurant II/IIs Stent Graft Systems for the Treatment of Abdominal Aortic Aneurysm

The Endurant™ family of products provides the standard of care with a legacy of clinical success for the treatment of abdominal aortic aneurysm (AAA). Only the Endurant family of products, designed to address sac regression,¹ has the deep clinical experience, favorable outcomes, and the most validated data on any single graft for everyday or extraordinary challenges. For the past five years, the Endurant II/IIs has been used in 1 out of 3 EVAR cases,¹ with use in more than 450,000 patients worldwide.¹

Endurant IIs stent graft on white background

Alert Indications, Safety, and Warnings

Overview

The Endurant Family

Includes Endurant II, Endurant IIs, and Endurant AUI stent grafts
Optimizes outcomes for the broadest patient base
Utilizes the Endurant II delivery system, which allows for accurate placement and controlled deployment

Endurant II, Endurant IIs, and Endurant II AUI on blue gradient background

Product Features

Endurant IIs stent graft is a three-piece system that:

Leverages the proven design of the leading Endurant II abdominal stent graft
Expands anatomical customization options
Offers a shorter ipsilateral leg for more flexible, targeted limb placement
Features equal leg diameters to allow limbs to be used on either side
Utilizes the existing delivery system allowing accurate placement and controlled deployment
Provides up to a 20% reduction in distal diameter compared to select Endurant II bifurs
Enables in situ sizing with select ipsilateral limbs, allowing a 3–5 stent overlap for adjustment during case
Allows easier pre-case planning to simplify sizing

Endurant II Stent Graft Features²

Endurant II stent graft deployment on blue background

Accurate placement and controlled deployment. Flexible, kink-resistant delivery system facilitates stent graft delivery. Tip capture for precise positioning adjustments, including adjustment of placement proximally or distally.

Endurant II M-shape design features highlighted in blue box on a blue background

Continuous seal, fixation, and graft conformability. M-shaped proximal stents provide wall apposition and circumferential conformability.

Endurant II stent graft multifilament polyester graft material

Durable hemostatic barrier and resistance against type II endoleaks. High density, multifilament polyester graft material provides lower porosity for resistance against type II endoleaks.

Endurant Ii Delivery System Controlled Deployment

Deployment, capture, and release of the Endurant II stent.

The Endurant II delivery system helps ensure precise control and accurate placement at every stage of deployment, with 99.3% delivery and deployment success.*³
Tip capture delivery allows precise adjustment of position, proximally or distally, even after deployment of three stent rings. Control the release of the suprarenal stent and anchor pins with the back-end thumb wheel.

Deployment of the Endurant II Stent Graft

Deployment of the Endurant IIs Stent Graft

Indications for Use

The Endurant^™ II/Endurant^™ IIs bifurcated stent grafts are indicated for the endovascular treatment of infrarenal abdominal aortic or aortoiliac aneurysms. They may be utilized in conjunction with the Heli-FX^™ EndoAnchor^™ system when augmented radial fixation and/or sealing is required; in particular, in the treatment of abdominal aortic aneurysms with short (> 4 mm and < 10 mm) infrarenal necks (see Neck length definition below). The Endurant II stent graft system aorto-uni-iliac (AUI) stent graft is indicated for the endovascular treatment of infrarenal abdominal aortic or aortoiliac aneurysms in patients whose anatomy does not allow the use of a bifurcated stent graft. The Endurant II/IIs stent graft system is indicated for use in patients with the following characteristics:

Adequate iliac or femoral access that is compatible with vascular access techniques, devices, or accessories
Proximal neck length of
- ≥ 10 mm; or
- > 4 mm and < 10 mm when used in conjunction with the Heli-FX EndoAnchor system (bifurcated stent graft only)

Note: Neck length is defined as the length over which the aortic diameter remains within 10% of the infrarenal diameter.

Infrarenal neck angulation of ≤ 60°
Aortic neck diameters with a range of 19 to 32 mm
Distal fixation length(s) of ≥ 15 mm
Iliac diameters with a range of 8 to 25 mm
Morphology suitable for aneurysm repair

Manuals and Technical Guides

Instructions for Use

Find this technical manual in the Medtronic Manual Library, in the product labeling supplied with each device, or by calling 1-877-526-7890.

Model Specifications

pdf Sizing Sheet and Ordering Information (.pdf)

Use this tool to plan case specifics, such as sizing and placement. See model specs including stent graft lengths, diameters, and crossing profile.

843KB

View Specifications

Additional Resources

AAA Patient Education Video

Use this three-minute video to explain abdominal aortic aneurysms, risk factors, and treatment options.

Aortic Catalog

Choose from a complete portfolio of market-leading aortic vascular therapies to treat aneurysm disease.

Download Catalog

Request More Information

Delivery success = successful vascular access and delivery of the device to the intended anatomical treatment site. Deployment success = successful deployment of the device in the intended site and the successful removal of the delivery system. Endurant™ US IDE trial: Makaroun M. One-year outcomes of the U.S. regulatory trial of the Endurant™ stent graft system.

References

Data on file at Medtronic.

Bench test data on file at Medtronic. Bench test data may not be indicative of clinical performance.

Hekman KE, Wohlauer MV, Magee GA, et al. Current issues and future directions for vascular surgery training from the results of the 2016-2017 and 2017-2018 Association of Program Directors in Vascular Surgery annual training survey. J Vasc Surg. December 2019;70(6):2014-2020.