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EndoSuture Aneurysm Repair (ESAR)
ESAR mimics a sutured anastomosis to provide durability through reinforcement of the proximal seal in endovascular aneurysm repair (EVAR).1–3
Today, EVAR is an effective and efficient treatment for abdominal aortic aneurysm (AAA). However, there are certain EVAR patients who are at greater risk for neck dilatation and/or loss of proximal seal, leading to worse outcomes.
(n = 1,559 follow-up at one year)4
(n = 6,602 follow-up ranged from 2.7 years [mean] to 3.9 years)5
Short
Wide
Angulated
Conical
AAA is a progressive dilating disease even after EVAR or open surgical repair.6
22% of EVAR patients were lost to imaging follow-up at one year.7 Independent risk factors for not following up:
ESAR reinforces and protects the proximal seal leading to better outcomes in wide necks.
ANCHOR registry wide neck cohort three-year data (n = 72)9
Hear from Professor Michel Reijnen on the importance of the ANCHOR three-year wide neck data.
Using the ANCHOR Data to Help Treat Patients Video - (03:32)
Watch this video to hear Professor Reijnen discuss the results of the ANCHOR data to safely treat patients with wide aortic necks.
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Learn from the experts about the clinical utility of ESAR as a solution for wide neck patients.
Wide Neck Physician Testimonials Video - (02:19)
Hear physicians explain how Heli-FX EndoAnchor enhances EVAR and addresses aortic wide neck.
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Neck dilatation challenges and EndoAnchor design features: Learn how ESAR with the Heli-FX™ EndoAnchor™ system reinforces the proximal seal and protects against neck dilatation to minimize both transient and persistent Type Ia endoleaks.
Aortic Neck Dilatation Animation - (02:20)
Watch the neck dilatation and EndoAnchor feature and learn how the Heli-FX EndoAnchor System enhances EVAR in patients at risk for suboptimal outcomes.
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Learn about the benefits of ESAR and the key elements of deployment.
Heli-FX Deployment in AAA Human Anatomy Video - (01:05)
Watch how the abdominal aortic aneurysm disease is treated in the human anatomy and learn how the Heli-FX EndoAnchor is deployed.
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ESAR with the Heli-FX™ EndoAnchor system is your defense for patients at risk for suboptimal outcomes.
View presentations and videos, and find other educational resources.
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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 1-month post implantation measurement and three-year follow-up time points.
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.
Antoniou GA, Georgiadis GS, Antoniou SA, Kuhan G, Murray D. A meta-analysis of outcomes of endovascular abdominal aortic aneurysm repair in patients with hostile and friendly neck anatomy. J Vasc Surg. February 2013;57(2):527–538.
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(2):167–174.
Oberhuber A, Buecken M, Hoffmann M, Orend KH, Mühling BM. Comparison of aortic neck dilatation after open and endovascular repair of abdominal aortic aneurysm. J Vasc Surg. April 2012;55(4):929–934.
Schanzer A, Messina LM, Ghosh K, et al. Follow-up compliance after endovascular abdominal aortic aneurysm repair in Medicare beneficiaries. J Vasc Surg. January 2015;61(1):16–22.e1.
Morris AD, Preiss JE, Ogbuchi S, et al. Longer Patient Travel Times Associated with Decreased Follow-Up after Endovascular Aortic Aneurysm Repair (EVAR). Am Surg. August 1, 2017;83(8):e339–341.
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 2022 Charing Cross International Symposium.
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;66(1):45–52.
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. June 2018;67(6):1699–1707.
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. Published online October 2022.
See the device manual for detailed information regarding the instructions for use, the implant procedure, indications, contraindications, warnings, precautions, and potential adverse events. For further information, contact your local Medtronic representative and/or consult the Medtronic website at medtronic.eu.