2020 annual physician clinical update

Endurant™ and Endurant™ II-IIs stent graft system

The Endurant™ family of products have been chosen by physicians to treat more than half a million patients worldwide.1

As the first and only endovascular aneurysm repair (EVAR) system with a decade of global registry outcomes, Endurant™ systems continue to prove durability and strength in evidence with consistently high sac regression and low aneurysm-related mortality (ARM).2

Choose the standard of EVAR durability.


Clinical experience overview

Trials and registries Duration (years) N (total patients: 1896)
Endurant™ FIM study 1 81
Endurant™ France post-market study 5 180
de novo cohort of ENGAGE PAS (US) 5 178
ENGAGE OUS registry full cohort 5 1263
ENGAGE OUS registry extended cohort 10 390
Endurant™ US IDE study (AUI) 5 44
Endurant™ US IDE study (bifur) 5 150

Event rates at 30 days across more than 1400 patients

Trials and registries Trial study design Technical/ deployment success (%) Type I endoleak (%)
Endurant™ FIM study3 (N = 81) Prospective, open-label, multicenter trial conducted at 10 sites across Germany and the Netherlands 100 0
Endurant™ US IDE study (bifur)4 (N = 150) Prospective, multicenter trial conducted at 26 sites across the United States 99.3 0
ENGAGE OUS registry5 (N = 1263) Post-market, real-world registry involving 1263 patients at 79 sites in 30 countries 99.0 1.2

ENGAGE OUS registry: 10 years of evidence with global EVAR registry2

10-year clinical outcomes %
Freedom from (FF) aneurysm-related mortality (ARM) 94.7%
FF aneurysm-related reinterventions§,◊ 70.3%
AAA sac regression 64.1% (107/167)
Type la endoleaks 4.7% (8/172)
Main body migration 1.3% (1/77)

ENGAGE OUS registry: five years of real-world clinical excellence5

Clinical outcomes (N=1263) %
FF ARM# 97.8%
FF secondary endovascular procedure# (overall) 84.3%
AAA sac regression 61.4% (302/492)
Type la endoleaks 1.6% (8/501)
Main body migration 0.3% (1/291)

ENGAGE OUS registry: five year short neck cohort6

Cumulative through five years 10 mm < 15 mm (n = 123) ≥ 15 mm (n = 1100)
FF secondary endovascular procedure 84.5% 84.4%
FF ARM 97.8% 97.8%
FF Type Ia endoleakꝉꝉ 90.9%ꝉꝉ 96.0%
FF rupture# 96.6% 98.7%
FF conversion# 96.5% 98.0%

Results of the Endurant™ US IDE study (bifur)4,7

Clinical outcomes One-year Five-year
Type I/III endoleak‡‡ 0.0% (0/132) 0.0% (0/73)
Type II endoleak‡‡ 9.1% (12/132) 4.1% (3/73)
Migration 0.0% (0/135) 0.0% (0/83)
FF conversion 100% 100%
FF secondary procedure 95.3% 89%
FF ARM 100% 99.2%

Procedural performance beyond clinical performance7

Outcomes from the Endurant™ US IDE study (bifur) At implant
Successful delivery and deployment 99.3%
(149/150)
Procedure duration (minutes)
(mean±SD; N = 150)
101.5
±46.2
General anesthesia 83.3%
(125/150)
Blood loss (mL)
(mean±SD; N = 149)
185.8
±168.0
ICU stay (hours)
(mean±SD; N = 150)
6.2
±19.4
Hospital stay (days)
(mean±SD; N = 150)
2.1
±2.3