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Dr. William Jordan, Jr. discusses the ANCHOR Registry and how it captures real-world usage and long-term outcomes of EndoAnchor implant fixation in EVAR.
Learn about the ANCHOR Registry design methods, results, and proven durability of ESAR with the Heli-FX™ EndoAnchor™ system in challenging AAA patients.
ANCHOR primary AAA arm | N = 771 |
---|---|
Female |
21.3% |
Average age |
73.5 years |
Hostile necks |
88.7% (572/645) |
ASA Class III/IV |
87.8% (674/768) |
Urgent or emergent |
17.9% (119/664) |
ANCHOR primary AAA arm | N = 771 |
---|---|
Technical success |
98.8% (738/747) |
Average time to place EndoAnchor implants |
19.6 min |
Average number of EndoAnchor implants |
6.0 |
Average total procedural time |
143.7 min |
Average total fluoro time |
35.1 min |
ANCHOR primary AAA arm (N = 771) | Year 1 | Year 2 | Year 3 | Year 4 | Year 5 |
---|---|---|---|---|---|
Type Ia endoleak | 2.5% (14/568) |
1.7% (6/346) |
2.9% (7/238) |
3.2% (5/154) |
4.8% (4/84) |
Migration | 0.0% (0/368) |
0.0% (0/180) |
0.0% (0/114) |
0.0% (0/72) |
0.0% (0/37) |
Strong 5-year sac regression in hostile necks
ANCHOR 5-year results demonstrate durable, reinforced proximal seal
ANCHOR revision AAA arm | N = 261 |
---|---|
Female |
15.3% |
Average age |
77.8 years |
Hostile necks |
88.7% (188/212) |
ASA Class III/IV |
89.2% |
Urgent or emergent |
23.8% (58/244) |
ANCHOR revision AAA arm | N = 261 |
---|---|
Technical success |
95% |
Average time to place EndoAnchor implants |
25.2 min |
Average number of EndoAnchor implants |
7.4 |
Average total procedural time |
145.5 min |
Average total fluoro time |
32.5 min |
ANCHOR revision AAA arm (N = 261) | Year 5 |
---|---|
Type Ia endoleak |
3.7% (1/27) |
Sac regressing or stable |
65.4% (17/26) |
Sac regressing |
38.5% (10/26) |
Migration |
0.0% (0/16) |
ANCHOR short neck cohort | N = 70 |
---|---|
Female |
27% |
Average age |
71 years |
Hostile necks |
100% |
ASA Class III/IV |
93% |
Urgent or emergent |
31% |
ANCHOR short neck cohort | N = 70 |
---|---|
Overall procedural success |
97.1% |
Successful and accurate deployment of EndoAnchor implants |
92.9% |
Average time to place EndoAnchor implants |
17.1 min |
Average number of EndoAnchor implants |
5.5 |
Average total procedural time |
148 min |
Average total fluoro time | 35.5 min |
ANCHOR short neck cohort (N = 70) | Year 1 | Year 2 | Year 3 |
---|---|---|---|
Type Ia endoleak | 2.0% (1/51) |
2.7% (1/37) |
6.5% (2/31) |
Sac regressing or stable | 100% (53/53) |
97.3% (36/37) |
93.7% (30/32) |
Sac regressing | 35.8% (19/53) |
54.1% (20/37) |
46.9% (15/32) |
Migration | 0 migrations at any time point |
Durable results, minimal reinterventions
Short neck cohort 3-year results demonstrate strong outcomes and minimal reinterventions in hostile neck patients
One-year Results of the ANCHOR Trial of EndoAnchors for the Prevention and Treatment of Aortic Neck Complications after Endovascular Aneurysm Repair
Jordan WD Jr, Mehta M, Ouriel K, et al. Vascular. April 2016;24(2):177-186.
Midterm Outcome of EndoAnchors for the Prevention of Endoleak and Stent-graft Migration in Patients with Challenging Proximal Aortic Neck Anatomy
Jordan WD Jr, de Vries JP, Ouriel K, et al. J Endovasc Ther. April 2015;22(2):163-170.
Outcome of the Pivotal Study of the Aptus Endovascular Abdominal Aortic Aneurysms Repair System
Mehta M, Henretta J, Glickman M, et al. J Vasc Surg. August 2014;60(2):275-285.
Successful Treatment of a Proximal Type I Endoleak with HeliFX EndoAnchors
Hogendoorn W, Schlösser FJ, Aruny JE, et al. Ann Vasc Surg. April 2014;28(3):737.
A Proof-of-Concept In Vitro Study to Determine if EndoAnchors Can Reduce Gutter Size in Chimney Graft Configurations
Niepoth WW, de Bruin JL, Yeung KK, et al. J Vasc Surg. August 2013;20(4):498-505.
EndoAnchor Placement in Thoracic and Thoracoabdominal Stent-Grafts to Repair Complications of Nonalignment
Kasprzak P, Pfister K, Janotta M, et al. J Endovasc Ther. August 2013;20(4):471-480.
Improving Proximal Fixation and Seal with the HeliFx Aortic EndoAnchor
Deaton DH. Sem Vasc Surg. December 2012;25(4):187-192.
Primary Endoanchoring in the Endovascular Repair of Abdominal Aortic Aneurysms with an Unfavorable Neck
Perdikides T, Melas N, Lagios K, et al. J Endovasc Ther. December 2012;19(6):707-715.
The Use of Endoanchors in Repair EVAR Cases to Improve Proximal Endograft Fixation
Avci M, Vos JA, Kolvenbach RR, et al. J Cardiovasc Surg. August 2012;53(4):419-426.
Helical EndoStaples Enhance Endograft Fixation in an Experimental Model Using Human Cadaveric Aortas
Melas N, Perdikides T, Saratzis A, et al. J Vasc Surg. June 2012;55(6):1726-1733.
Endosuture aneurysm repair in patients treated with Endurant II/IIs in conjunction with Heli-FX EndoAnchor implants for short-neck abdominal aortic aneurysm
Arko FR 3rd, Stanley GA, Pearce BJ, et al. J Vasc Surg. September 2019;70(3):732-740.
Endograft platform does not influence aortic neck dilatation after infrarenal endovascular aneurysm repair with primary endostapling
Chaudhuri A, Badawy A. Vascular. June 2021;29(3):315-322.
The use of EndoAnchors in endovascular repair of abdominal aortic aneurysms with challenging proximal neck: Single-centre experience
Giudice R, Borghese O, Sbenaglia G, et al. JRSM Cardiovasc Dis. April 2019;8:2048004019845508.
Rethinking EVAR: Is Longer Seal Zone the Only Answer for Enhancing Durability?
Milner R, et al. EV Today. Available at: https://evtoday.com/articles/2018-nov/rethinking-evar-is-longer-seal-zone-the-only-answer-for-enhancing-durability. Accessed March 15, 2022.
Matched cohort comparison of endovascular abdominal aortic aneurysm repair with and without EndoAnchors
Muhs BE, Jordan W, Ouriel K, et al. J Vasc Surg. June 2018;67(6):1699-1707.
Endovascular aortic repair with EndoAnchors demonstrate good mid-term outcomes in physician-initiated multicenter analysis-The PERU registry
Reyes Valdivia A, Chaudhuri A, Milner R, et al. Vascular. February 2022;30(1):27-37.
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