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Today, EVAR is an effective and efficient treatment for abdominal aortic aneurysm (AAA). However, there are certain EVAR patients who are at greater risk for neck dilatation and/or loss of proximal seal, leading to worse outcomes.
(n = 1,559 follow-up at one year)4
(n = 6,602 follow-up ranged from 2.7 years [mean] to 3.9 years)5
AAA is a progressive dilating disease even after EVAR or open surgical repair.6
22% of EVAR patients were lost to imaging follow-up at one year.7 Independent risk factors for not following up:
ESAR reinforces and protects the proximal seal leading to better outcomes in wide necks.
ANCHOR registry wide neck cohort three-year data (n = 72)9
Hear from Professor Michel Reijnen on the importance of the ANCHOR three-year wide neck data.
Learn from the experts about the clinical utility of ESAR as a solution for wide neck patients.
Neck dilatation challenges and EndoAnchor design features: Learn how ESAR with the Heli-FX™ EndoAnchor™ system reinforces the proximal seal and protects against neck dilatation to minimize both transient and persistent Type Ia endoleaks.
Learn about the benefits of ESAR and the key elements of deployment.
ESAR with the Heli-FX EndoAnchor system is your defense for patients at risk for suboptimal outcomes.
Wide neck definition varied from ≥ 25 mm to ≥ 31 mm.
Denominator is the number of subjects with maximum aneurysm diameter reported at both the 1-month post implantation measurement and three-year follow-up time points.
Melas N, Perdikides T, Saratzis A, Saratzis N, Kiskinis D, Deaton DH. Helical EndoStaples enhance endograft fixation in an experimental model using human cadaveric aortas. J Vasc Surg. June 2012;55(6):1726–1733.
Jordan WD, Jr. New Developments From The ANCHOR Registry With Over 5 Years Of Follow-Up Show The Value Of Endoanchors When Used Prophylactically For Certain Indications Prevent Endoleaks And Migration: What Are Those Indications. Presented at VEITH symposium 2021.
Schlösser FJV, de Vries JPPM, Chaudhuri A. Is it Time to Insert EndoAnchors into Routine EVAR? Eur J Vasc Endovasc Surg. April 2017;53(4):458–459.
Antoniou GA, Georgiadis GS, Antoniou SA, Kuhan G, Murray D. A meta-analysis of outcomes of endovascular abdominal aortic aneurysm repair in patients with hostile and friendly neck anatomy. J Vasc Surg. February 2013;57(2):527–538.
Kouvelos GN, Antoniou G, Spanos K, Giannoukas A, Matsagkas M. Endovascular aneurysm repair in patients with a wide proximal aortic neck: a systematic review and meta-analysis of comparative studies. J Cardiovasc Surg (Torino). April 2019;60(2):167–174.
Oberhuber A, Buecken M, Hoffmann M, Orend KH, Mühling BM. Comparison of aortic neck dilatation after open and endovascular repair of abdominal aortic aneurysm. J Vasc Surg. April 2012;55(4):929–934.
Schanzer A, Messina LM, Ghosh K, et al. Follow-up compliance after endovascular abdominal aortic aneurysm repair in Medicare beneficiaries. J Vasc Surg. January 2015;61(1):16–22.e1.
Morris AD, Preiss JE, Ogbuchi S, et al. Longer Patient Travel Times Associated with Decreased Follow-Up after Endovascular Aortic Aneurysm Repair (EVAR). Am Surg. August 1, 2017;83(8):e339–341.
Reijnen M. Podium First: ESAR is more than reinforced proximal seal: three-year ANCHOR study results on wide necks and video technique edited case. Presented at 2022 Charing Cross International Symposium.
Tassiopoulos AK, Monastiriotis S, Jordan WD, Muhs BE, Ouriel K, De Vries JP. Predictors of early aortic neck dilatation after endovascular aneurysm repair with EndoAnchors. J Vasc Surg. 2017;66(1):45–52.
Muhs BE, Jordan W, Ouriel K, Rajaee S, de Vries JP. Matched cohort comparison of endovascular abdominal aortic aneurysm repair with and without EndoAnchors. J Vasc Surg. June 2018;67(6):1699–1707.
Reyes Valdivia A, Oikonomou K, Milner R, et al. The Effect of EndoAnchors on Aneurysm Sac Regression for Patients Treated With Infrarenal Endovascular Repair With Hostile Neck Anatomies: A Propensity Scored Analysis. J Endovasc Ther. Published online October 2022.