Team of surgeons operating on a patient and male surgeon looking on female surgeon in the operating room

Aortic endovascular repair

Strength in products

Designed and driven to perform

You’re invested in durable outcomes for your patients. So are we.
Medtronic offers a durable portfolio backed by quality long-term evidence.

Abdominal endovascular aneurysm repair (EVAR)

ESAR is a minimally invasive option for abdominal aortic aneurysm (AAA) repair.

Learn about EVAR

This is an illustration of an abdominal aortic aneurysm (AAA) in the aorta.

The standard for EVAR durability

Endurant™ II-IIs AAA stent graft system

Design that uniquely addresses sac regression^1-4
First and only EVAR system with 10-year global registry data⁵ and outcomes protection program
Over half a million patients treated worldwide⁶

More on the Endurant systems

Important safety information

Endurant™ IIs AAA stent graft is a three-piece system that is designed to treat abdominal aortic aneurysms (AAA) in both challenging and straightforward anatomy.

Risks associated with EVAR procedures may include rupture, conversion to open repair, or secondary procedures.

Thoracic endovascular aortic repair (TEVAR)

TEVAR is a minimally invasive alternative to open surgery.

Learn about TEVAR

This is an illustration of a thoracic aortic aneurysm in the thoracic aorta below the heart, shown from the side.

Deploy durability^7–10

Valiant™ Captivia™ Thoracic Stent Graft System

Maintains continuous seal in a dynamic aortic environment⁷
Five-year outcomes in all DTA pathologies^8–10
More than 150,000 patients treated worldwide¹¹

More on Valiant Captivia

Important safety information

This is an image of the Valiant™ thoracic stent graft with the Captivia™ delivery system.

Risks associated with TEVAR procedures may include rupture, conversion to open repair, or secondary procedures.

EndoSuture aneurysm repair (ESAR)

ESAR mimics a sutured anastomosis to provide durability through reinforcement of the proximal seal in endovascular aneurysm repair (EVAR).^12,14

Learn about ESAR

This is an illustration of an aortic neck with the Heli-FX™ EndoAnchors™ reinforcing the stent graft to the aorta within the human anatomy.

Reinforced seal.^12,14 Redefined outcomes.^{13,15,16,18,19}

Heli-FX™ EndoAnchor™ System

Only commercially available device facilitating endosuture aneurysm repair (ESAR)¹⁷
Minimizes endoleaks and promotes greater sac regression^13,18,19
Durable five-year outcomes in challenging patient population¹³

More on Heli-FX system

Important safety information

This is an image of the Heli-FX™ EndoAnchor™ implant.

Risks may include failure to prevent/correct type I endoleaks, migration, or sac enlargement.

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Lalys F, Daoudal A, Gindre J, et al. Influencing factors of sac shrinkage after endovascular aneurysm repair. J Vasc Surg. June 2017;65(6):1830–1838.
Makaroun MS, Tuchek M, Massop D, et al. One-year outcomes of the US regulatory trial of the Endurant™ stent graft system. J Vasc Surg. September 2011;54(3):601–608.
Based on internal test report DVR7245 Design Verification Report: Endurant Stent Graft System conducted January–July 2007.
Wakefield TW, Shulkin BL, Fellows EP, Petry NA, Spaulding SA, Stanley JC. Platelet reactivity in human aortic grafts: a prospective, randomized midterm study of platelet adherence and release products in Dacron and polytetrafluoroethylene conduits. J Vasc Surg. February 1989;9(2):234–243.
Verhagen, et al. The ENGAGE Registry: Ten-Year Outcomes with the Endurant Stent Graft for Endovascular Abdominal Aortic Aneurysm Repair. Presented at: Charing Cross 2023 International Symposium; April 26, 2023; London, UK.
Based on internal Endurant™ patient implant tracking at Medtronic. Data current as of September 2023.
Canaud L, Cathala P, Joyeux F, Branchereau P, Marty-Ané C, Alric P. Improvement in conformability of the latest generation of thoracic stent grafts. J Vasc Surg. 2013 Apr;57(4):1084–9.
Conrad MF, Tuchek J, Freezor R, Bavaria J, White R, Fairman R. Results of the VALOR II trial of the Medtronic Valiant Thoracic Stent Graft. J Vasc Surg. 2017 Aug;66(2):335–342.
Bavaria JE, Brinkman WT, Hughes GC, Shah AS, Charlton-Ouw KM, Azizzadeh A, White RA. Five-year outcomes of endovascular repair of complicated acute type B aortic dissections. J Thorac Cardiovasc Surg. 2022 Feb;163(2):539–548.e2.
Patel HJ, Azizzadeh A, Matsumoto AH, Velazquez OC, Rovin JD, Lombardi JV, Khoynezhad A, Dai Y, White RA. Five-Year Outcomes From the United States Pivotal Trial of Valiant Captivia Stent Graft for Blunt Aortic Injury. Ann Thorac Surg. 2020 Sep;110(3):815–820.
Data on file. Internal global finance report, total Valiant Captivia cases.
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.
Reijnen M. Focus on endosuture/endoanchors: The effect of EndoAnchors on aneurysm sac regression for patients with wide neck abdominal aneurysm from the ANCHOR registry and the HERCULES RCT design. Presented at LINC International Symposium, June 08, 2023; Leipzig, GER, https://www.leipzip-interventional-cource.com/archive/linc-2023/presentations/. Accessed April, 30, 2024.
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 Jul;66(1):45–52.
Masoomi R, Lancaster E, Robinson A, Hacker E, Krajcer Z, Gupta K. Safety of EndoAnchors in real-world use: A report from the Manufacturer and User Facility Device Experience database. Vascular. 2019;27(5):495–499. doi:10.1177/1708538119844041.
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. 2018 Jun;67(6):1699–1707. doi: 10.1016/j.jvs.2017.10.059. Epub 2017 Dec 18. PMID: 29248241.
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. 2022 Oct 10:15266028221127839. doi: 10.1177/15266028221127839.

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