Manufacturer > Medtronic > Devices > Endurant II AUI Stent Graft System
Endurant II AUI Stent Graft System
Device-Type
Iliac Limbs
Targated Speciality
Cardiovascular
Manufacturer
Medtronic
Used in Procedure
EVAR and TEVAR Procedures
The Endurant II/IIs stent graft system is indicated for the endovascular treatment of infrarenal or juxtarenal abdominal aortic or aortoiliac aneurysms in patients with the following characteristics:
- adequate iliac or femoral access vessel morphology that is compatible with vascular access techniques, devices, or accessories
- iliac distal fixation length of ≥15 mm
- iliac diameters with a range of 8 to 25 mm
- morphology suitable for aneurysm repair
- one of the following:
- aneurysm diameter >5 cm.
- aneurysm diameter of 4 to 5 cm, which has also increased in size by 0.5 cm in the last 6 months.
- aneurysm that is at least 1.5 times the diameter of the normal infrarenal aorta.
In addition, for treatment of infrarenal abdominal aortic or aortoiliac aneurysms, the following patient characteristics apply:
- aortic neck diameters with a range of 19 to 32 mm
- proximal neck length of ≥10 mm or ≥4 mm and <10 mm when used in conjunction with the Heli-FX EndoAnchor system, with insignificant calcification, or insignificant thrombus with ≤60° infrarenal and ≤45° suprarenal angulation and a vessel diameter approximately 10% to 20% smaller than the labelled Endurant II/Endurant IIs stent graft diameter
- proximal neck length of ≥15 mm with insignificant calcification, or insignificant thrombus with ≤75° infrarenal and ≤60° suprarenal angulation and a vessel diameter approximately 10% to 20% smaller than the labelled Endurant II/Endurant IIs stent graft diameter.
In addition, for treatment of juxtarenal abdominal aortic or aortoiliac aneurysms with the parallel graft technique, the following patient characteristics apply:
- aortic neck diameters with a range of 19 mm to 30 mm
- infrarenal proximal neck length of ≥2 mm and total available proximal seal length >15 mm with a balloon expandable covered stent deployed in a parallel graft technique in one or two renal arteries and with insignificant calcification, or insignificant thrombus with ≤60° infrarenal, ≤45° suprarenal, and ≤45° suprasuperior mesenteric artery angulation (supraSMA angulation) and an aortic diameter approximately 20% to 30% smaller than the labelled Endurant II/Endurant IIs stent graft diameter
- adequate brachial or axillary access that is compatible with vascular access techniques, devices, or accessories
- sufficient renal fixation length
- renal take off angulation <90° relative to the aortic centerline.
Features and Benefits
ENDURANT II FAMILY OF PRODUCTS
The Endurant II family:
- Includes Endurant II, Endurant II AUI and Endurant IIs stent grafts
- Designed to meet a wide range of patient anatomies
- Utilises the Endurant II delivery system, which allows for accurate placement and controlled deployment
Endurant IIs stent graft is a three-piece system that:
- Leverages the proven design of the leading Endurant II abdominal stent graft
- Expands anatomical customisation options
- Offers a shorter ipsilateral leg for more flexible, targeted limb placement
- Features equal leg diameters to allow limbs to be used on either side
- Utilises the existing delivery system allowing accurate placement and controlled deployment
The Endurant IIs stent graft:
- Provides up to a 20% reduction in distal diameter compared to select Endurant II bifurs
- Enables in situ sizing with select ipsilateral limbs, allowing a 3-5 stent overlap for adjustment during case
- Allows easier pre-case planning to simplify sizing
ENDURANT II STENT GRAFT FEATURES†
- Flexibility and conformability. Designed to conform to the natural tortuosity of the vessel. Low-profile, hydrophilic delivery coating enhances access and trackability.
- Accurate placement and controlled deployment. Flexible, kink-resistant delivery system facilitates stent graft delivery. Tip capture for precise positioning adjustments, including adjustment of placement proximally or distally.
- Optimal seal and fixation. M-shaped proximal stents provide wall apposition and minimise in-folding. Suprarenal stent anchor pins provide secure fixation.
- Durability and strength. High-density, multifilament polyester graft material provides lower porosity for resistance against aneurysm sac growth.
DELIVERY AND DEPLOYMENT
The Endurant II delivery system helps ensure precise control and accurate placement at every stage of deployment:
- 100% PEVAR delivery and deployment success‡
- 99.3% delivery and deployment success§
Tip capture delivery allows precise adjustment of position, proximally or distally, even after deployment of three stent rings. Control the release of the suprarenal stent and anchor pins with the back-end thumb wheel.
Endurant II Delivery System Controlled Deployment
Deployment, capture, and release of the Endurant II stent.
