Endurant II/IIs Stent Graft Systems for the Treatment of Abdominal Aortic Aneurysm 

Only the Endurant family of products, designed to address sac regression,¹ has the deep clinical experience, favorable outcomes, and the most validated data on any single graft for everyday or extraordinary challenges. For the past five years, the Endurant II/IIs has been used in 1 out of 3 EVAR cases,¹ with use in more than 450,000 patients worldwide.¹

Endurant IIs stent graft is a three-piece system that:

• Leverages the proven design of the leading Endurant II abdominal stent graft
• Expands anatomical customization 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
• Utilizes the existing delivery system allowing accurate placement and controlled deployment
• 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

All indications related to Endurant II/IIs Stent Graft System are not approved globally.  Please check your local regulatory approval status.  Refer to the complete Instructions for Use manual of the Endurant II/IIs stent graft system for the indications approved in your geography.

See the device manual for detailed information regarding the instructions for use, indications, contraindications, warnings, precautions, and potential adverse events. For further information, contact your local Medtronic representative and/or consult the Medtronic Europe website.

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 labeled 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 labeled 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 labeled 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

Note: The angle between the aortic and renal artery blood lumen centerlines is the renal take-off angulation. An angle of < 90° is associated with a downward-pointed renal artery relative to the trajectory of the aortic centerline.

Instructions for Use

Find this technical manual in the Medtronic Manual Library, in the product labeling supplied with each device, or by calling 1-877-526-7890.

Endurant II Bifurcated Devices

Endurant IIs Bifurcated Devices

Limbs^‡

Aortic Extensions

Abdominal Tubes

Endurant II AUI

Iliac Extensions