Endurant Stent Graft in Abdominal Aortic Aneurysm EVAR: Scoping Review with ☸️SAIMSARA.

Name: SAIMSARA Evidence Object vascular::ENDURANT_SS
Creator: SAIMSARA
License: https://saimsara.com/license/

SAIMSARA

doi:10.62487/saimsara125b2ae2

SAIMSARA Journal

Machine-Readable Science • ISSN 3054-3991

Endurant Stent Graft in Abdominal Aortic Aneurysm EVAR: Scoping Review with ☸️SAIMSARA.

Cardiac & Vascular Health

Issue 1, Volume 1, 2026

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DOI: 10.62487/saimsara125b2ae2

Editorial note

• Last update: 2026-05-30 23:12:49

What is this paper about

Endurant is not just another EVAR device story: this review shows where its long-term durability is real, and where it becomes fragile. The full read maps registry, hostile-neck, chimney, EndoAnchor, limb, renal, and late endoleak evidence to clarify a practical point for vascular specialists: Endurant success is driven less by deployability and more by proximal sealing quality, anatomy, and surveillance.

Human-verified editorial review Verified by World ID proof-of-human. This editorial layer was submitted from a SAIMSARA account verified as a unique human.

Generated with SAIMSARA v4.9

Abstract: To map and synthesize the available structured evidence on the Endurant stent graft, with emphasis on its clinical durability, safety, anatomical applicability, complication profile, adjunctive techniques, and emerging device-modification research in AAA and related aortoiliac pathology. The review uses 86 references and builds its evidence map from 133 original studies with 29309 total participants/sample observations (topic-deduplicated ΣN). The evidence indicates that the Endurant stent graft is a durable and broadly applicable EVAR platform, with registry data supporting 5-year freedom from aneurysm-related mortality near 97.8% and continued sac regression at 10-year follow-up, while outcome vulnerability concentrates in hostile proximal neck anatomy and outside-IFU use, where 5-year freedom from type IA endoleak fell to 89.4% versus 96.7% within IFU. This pattern highlights proximal sealing quality—rather than device feasibility alone—as the dominant determinant of long-term success. Adjunctive strategies such as EndoAnchors and careful chimney configuration appear to mitigate risk in selected complex anatomy, but supporting evidence remains largely observational. Future research should prioritize harmonized neck phenotyping and prospective comparative studies of planned adjunctive fixation in short-neck and hostile-neck subgroups to clarify when Endurant durability can be reliably preserved.

Keywords: Endurant stent graft; Abdominal aortic aneurysm; Endovascular aneurysm repair; Type IA endoleak; Type III endoleak; Aneurysm sac regression; Reintervention; Infrarenal neck anatomy; Chimney EVAR; Stent graft durability

Review Stats

Final search date and database lock: 2026-05-21 21:12:21 CEST
Plan: Pro (expanded craft tokens; source: Semantic Scholar)
Source: Semantic Scholar
Total Abstracts/Papers: 256828
Downloaded Abstracts/Papers: 1000
Included original and non-original Abstracts/Papers (all): 138
Included original Abstracts/Papers (Vote counting by direction of effect): 133
Reference Index (links used in paper): 86
Total participants/sample observations (topic deduplicated ΣN): 29309

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Reference Index (86)

[1] Endurant Stent Graft for Treatment of Abdominal Aortic Aneurysm Inside and Outside of the Instructions for Use for the Proximal Neck: A 14-Year, Single-Center Experience — https://doi.org/10.3390/jcm13092589
[2] The ENGAGE Registry Ten Year Outcomes with the Endurant Stent Graft System for Endovascular Abdominal Aortic Aneurysm Repair. — https://doi.org/10.1016/j.ejvs.2025.06.070
[3] Endurant Stent Graft in Patients with Challenging Neck Anatomy 'one step outside IFU': Early and Mid-term Results from the EAGLE Registry. — https://doi.org/10.1016/j.ejvs.2022.08.002
[4] Type IIIb endoleak due to stent suture line fabric breakage in the Endurant stent graft: a case report — https://doi.org/10.1186/s40792-022-01415-8
[5] Endurant Stent Graft Demonstrates Promising Outcomes in Challenging Abdominal Aortic Aneurysm Anatomy. — https://doi.org/10.1016/j.jvs.2020.04.508
[6] Five Year Outcomes of the Endurant Stent Graft for Endovascular Abdominal Aortic Aneurysm Repair in the ENGAGE Registry. — https://doi.org/10.1016/j.ejvs.2019.01.008
[7] Index and follow-up costs of endovascular abdominal aortic aneurysm repair from the Endurant Stent Graft System Post Approval Study (ENGAGE PAS). — https://doi.org/10.1016/j.jvs.2019.11.028
[8] Chimney Endovascular Aneurysm Repair Using Endurant Stent-Grafts With Bare Balloon-Expandable Stents for Patients With Juxtarenal Aortic Aneurysms — https://doi.org/10.1177/1526602819837311

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