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Wide proximal aortic necks experience suboptimal outcomes after standard EVAR.
Wide necks† are:
6.7x more likely to have type Ia endoleak (p = 0.001)
10x more likely to have sac expansion (p = 0.009)
5.1x more likely to rupture (p = 0.01)
(N = 6,602 f/u ranged from 2.7 years (mean) to 3.9 years)1
ESAR in wide necks: Reinforced seal, redefined outcomes.
When compared to wide necks in literature at similar time intervals, patients who received ESAR with the Heli-FX EndoAnchor system at the index procedure experienced better outcomes.
ANCHOR wide neck data
ESAR reinforces and protects the proximal seal, leading to better outcomes in wide necks. View data on wide necks from literature compared to the three-year wide neck results from the ANCHOR Registry.
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.
Using the ANCHOR Registry to Help Treat Patients
- (01:10)
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†
Wide neck definition varied from ≥ 25 mm to ≥ 31 mm.
‡
Denominator is the number of subjects with maximum aneurysm diameter reported at both the one-month post implantation measurement and three-year follow-up time points.
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(1):167–174.
2
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 Charing Cross International Symposium. April 26, 2022; London, UK.