Early Results from the ENGAGE Registry: Real-world Performance of the Endurant Stent Graft for Endovascular AAA Repair in 1262 Patients

Stokmans RA, Teijink JAW, Forbes TL, et al (Catharina Hosp, Eindhoven, The Netherlands; Univ of Western Ontario, London, Canada; et al) Eur J Vasc Endovasc Surg 44:369-375, 2012^§

Abstract

Objective

The ENGAGE registry was undertaken to examine the real-world outcome after endovascular abdominal aortic aneurysm (AAA) repair (EVAR) with the Endurant Stent Graft in a large, contemporary, global series of patients.

Methods

From March 2009 to April 2011, 1262 AAA patients (89.6% men; mean age 73.1 years, range 43–93 years) were enrolled from 79 sites in 30 countries and treated with Endurant. Results are described following the reporting standards for EVAR. Follow-up data were tabulated for all 1262 patients at a 30-day follow-up and for the first 500 patients at a 1-year follow-up.

Results

Intra-operative technical success was achieved in 99.0% of cases. Within 30 days, adverse events were reported in 3.9% of patients, including a 1.3% mortality rate. Type-I or –III endoleaks were identified in 1.5% of cases. Estimated overall survival, aneurysm-related survival and freedom from secondary interventions at 1 year were 91.6%, 98.6% and 95.1%, respectively. At 1 year, aneurysm size increased ≥5 mm in 2.8% and decreased ≥5 mm in 41.3% of cases.

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