ClinicalTrials.gg
CompletedNCT00870051ENGAGEUpdated Feb 9, 2022

Endurant Stent Graft Natural Selection Global Postmarket Registry

An observational study in Aortic Aneurysm, Abdominal, sponsored by Medtronic Cardiovascular. Completed at 80 sites in 30 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-02-09.

Sponsored by Medtronic Cardiovascular (part of Medtronic) · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
1,266
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of ENGAGE is to prospectively collect global 'real world' data on the Endurant Stent Graft System from AAA subjects.

Read the detailed description

The Endurant Stent Graft Natural Selection Global Post-market Registry, ENGAGE is initiated to expand the clinical knowledge base by including 'real world' subjects, applying a minimal amount of subject selection criteria. This subject group may better represent the subject profile treated in actual clinical practice without selecting sub-groups of particular low/high risk or excluding certain diseases. ENGAGE aims at following and documenting the subject selections, diagnostic tools used and treatment interventions chosen by the vascular surgeon or interventional radiologist. ENGAGE will not impose CIP required study procedures affecting clinical practice.

02

Conditions studied

  • Aortic Aneurysm, Abdominal

Keywords

  • Endurant
  • Stent Graft
  • Abdominal Aortic Aneurysm
03

In context

Aortic Aneurysm, Abdominal

481 studies on the registry are indexed under Aortic Aneurysm, Abdominal; 99 are open to participants now.

This study's enrollment of 1,266 is above the median of 167 across 225 observational studies indexed under Aortic Aneurysm, Abdominal.

Browse Aortic Aneurysm, Abdominal studies →

Lead sponsor

Medtronic Cardiovascular is the lead sponsor of 70 studies on the registry; 7 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 5 (100%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Subjects diagnosed with an AAA who are considered candidates for endovascular

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age ≥18 years or minimum age as required by local regulations
  • Indication for elective surgical repair of AAA with an endovascular stent graft in accordance with the applicable guidelines on endovascular interventions and the Instructions for Use of the Endurant Stent Graft System
  • Signed consent form ("Patient informed consent Form" or "Patient Data Release Authorization Form"). The subject or legal representative has been informed of the nature of the trial and has consented to participate and authorized the collection and release of his medical information
  • Intention to electively implant the ENDURANT Stent Graft System
  • Ability and willingness to comply with the CIP.

Exclusion criteria

Exclusion Criteria:

  • High probability of non-adherence to physician's follow-up requirements
  • Current participation in a concurrent trial which may confound study results
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
1,266 participants (actual)

Groups and cohorts

  • AAA patients

    Subjects diagnosed with an AAA who are considered candidates for endovascular repair with Endurant Stent Graft, and who meet the inclusion/exclusion criteria are intended to participate in this registry

    Device: Endurant Stent Graft

Interventions

  • DeviceEndurant Stent Graft

    Endurant Stent Graft implantation

    Also known as: EVAR

06

What researchers measure

Primary outcomes

  1. Treatment Success

    Time frame: 10 years

Secondary outcomes

  1. Stent Graft Migration

    Time frame: 10 years

  2. Stent Graft Patency

    Time frame: 10 years

  3. Stent Graft Endoleaks

    Time frame: 10 years

  4. Secondary procedures to correct Type I and III endoleaks

    Time frame: 10 years

  5. Secondary endovascular procedure

    Time frame: 10 years

  6. Adverse Device Effects

    Time frame: 10 years

  7. Technical Observations

    Time frame: 5 years

  8. Aneurysm-related mortality

    Time frame: 10 years

  9. All-cause mortality

    Time frame: 10 years

  10. MAE

    Time frame: 30 days

  11. Health Related Quality of Life Scores

    Time frame: 12 months

  12. Stent Graft Stenosis

    Stent Graft stenosis is considered a reduction in the diameter of the stent graft lumen as compared to the reference. SG stenosis will be assessed by imaging as CT with contrast, Ultrasound, etc.

    Time frame: 10 years

  13. AAA Diameter Increase

    Time frame: 10 years

07

Study locations

80 sites
  • Hospital Italiano de Buenos Aires
    Buenos Aires, C1199ABD, Argentina
  • Clínica La Sagrada Familia
    Buenos Aires, C1426EOB, Argentina
  • Royal Prince Alfred Hospital
    Camperdown, New South Wales 2050, Australia
  • Royal Brisbane and Women's Hospital
    Brisbane, Queensland 4029, Australia
  • St Andrew's Hospital
    Adelaide, South Australia 5000, Australia
  • The Queen Elizabeth Hospital
    Adelaide, South Australia 5011, Australia
  • Box Hill Hospital
    Melbourne, Victoria 3128, Australia
  • Epworth Healthcare - Epworth Eastern
    Melbourne, Victoria 3128, Australia
  • JMLS Medical Services PTY, trading as Perth Institute of Vascular Research
    Nedlands, Western Australia 6009, Australia
  • Royal Perth Hospital
    Perth, Western Australia 6001, Australia
  • Hollywood Private Hospital
    Perth, Western Australia 6009, Australia
  • Krankenhaus Hietzing
    Vienna, 1130, Austria
  • Imeldaziekenhuis
    Bonheiden, 2820, Belgium
  • AZ Sint-Blasius-Campus Dendermonde
    Dendermonde, 9200, Belgium
  • Universitair Ziekenhuis Antwerpen
    Edegem, 2650, Belgium
  • Universitair Ziekenhuis Gent
    Ghent, 9000, Belgium
  • Queen Elizabeth II Health Sciences Centre
    Halifax, B3H 3A7, Canada
  • London Health Sciences Centre - Victoria Hospital
    London, N6A 5W9, Canada
  • Glen Royal Victoria Hospital
    Montreal, H4A 3J1, Canada
  • CHUQ - Hôpital Saint-François d'Assise
    Québec, G1L 3L5, Canada
  • Toronto General Hospital
    Toronto, M5G 2C4, Canada
  • Chinese PLA General Hospital
    Beijing, 100853, China
  • West China Hospital of Sichuan University
    Chengdu, 610041, China
  • People's Hospital of Guangdong Province
    Guangzhou, 510080, China
  • Fundacion Cardioinfantil
    Bogotá, Colombia
  • IKEM - Institutu Klinicke a Experimentalni Mediciny
    Prague, 140 21, Czechia
  • CHU de Bordeaux - Centre Universitaire Pellegrin
    Bordeaux, 33000, France
  • Hôpitaux Universitaires - Hôpital Henri Mondor
    Créteil, 94010, France
  • Hôpital Haut-Lévêque - CHU de Bordeaux
    Pessac, 33604, France
  • Universitätsklinikum Heidelberg
    Heidelberg, 69120, Germany
  • St. Franziskus-Hospital Münster GmbH
    Münster, 48145, Germany
  • Städtisches Klinikum Solingen
    Solingen, 42653, Germany
  • Euromedica - Kyanous Stavros General Hospital
    Thessaloniki, 54636, Greece
  • Papageorgiou General Hospital
    Thessaloniki, 56429, Greece
  • Queen Mary Hospital
    Hong Kong, Hong Kong
  • Tel Aviv Sourasky Medical Center
    Tel Aviv, 64239, Israel
  • Policlinico Sant' Orsola - Malpighi
    Bologna, 40138, Italy
  • Azienda Ospedaliera-Universitaria Careggi
    Florence, 50134, Italy
  • Azienda Ospedaliera Universitaria Senese
    Siena, 53100, Italy
  • Vilnius University Hospital Santaros Klinikos
    Vilnius, 08661, Lithuania
  • Rijnstate - Locatie Arnhem
    Arnhem, 6815 AD, Netherlands
  • Catharina Ziekenhuis
    Eindhoven, 5623 EJ, Netherlands
  • Zuyderland Medisch Centrum Heerlen
    Heerlen, 6419 PC, Netherlands
  • St. Antonius Ziekenhuis
    Nieuwegein, 3435 CM, Netherlands
  • Erasmus Medisch Centrum
    Rotterdam, 3015 CE, Netherlands
  • Sint-Elisabeth Ziekenhuis
    Tilburg, 5022 GC, Netherlands
  • Auckland City Hospital
    Auckland, 1023, New Zealand
  • Waikato District Health Board
    Hamilton, 3240, New Zealand
  • Helse Bergen HF - Haukeland Universitetssjukehus
    Bergen, 5021, Norway
  • Oslo Universitetssykehus-Rikshospitalet
    Oslo, 0027, Norway
  • Universitetssykehuset Nord-Norge
    Tromsø, 9019, Norway
  • Samodzielny Publiczny Szpital Kliniczny Nr 2 PUM w Szczecinie
    Szczecin, 70-111, Poland
  • Szpital Bielanski
    Warsaw, 01-809, Poland
  • Hospital de Santa Maria-Centro Hospitalar Lisboa Norte, EPE
    Lisbon, 1649-035, Portugal
  • Narodny ustav srdcovych a cievnych chorob, a.s. (NUSCH)
    Bratislava, 83348, Slovakia
  • Life Healthcare - Life Kingsbury Hospital
    Cape Town, 7700, South Africa
  • Life Healthcare - Life St Georges Hospital
    Port Elizabeth, 6001, South Africa
  • Netcare Unitas Hospital
    Pretoria, 0157, South Africa
  • Chonnam National University Hospital
    Gwangju, 102-602, South Korea
  • Yonsei University health System -Severence Hospital
    Seoul, 120-752, South Korea
  • Hospital Universitari Clínic de Barcelona
    Barcelona, 08036, Spain
  • Complejo Hospitalario Universitario Granada Hospital Campus de la Salud
    Granada, 18016, Spain
  • Hospital Universitario Central de Asturias
    Oviedo, 33011, Spain
  • Hospital Universitario Dr. Peset
    Valencia, 46017, Spain
  • Hospital Clínico Universitario de Valladolid
    Valladolid, 47006, Spain
  • Sahlgrenska Universitetssjukhuset
    Gothenburg, 413 45, Sweden
  • Universitetssjukhuset Örebro
    Örebro, 701 85, Sweden
  • Södersjukhuset
    Stockholm, 118 83, Sweden
  • Inselspital - Universitätsspital Bern
    Bern, 3010, Switzerland
  • Songklanagarind Hospital
    Songkhla, 90110, Thailand
  • Istanbul Universitesi - Istanbul Tip Fakultesi Hastanesi
    Istanbul, 34093, Turkey (Türkiye)
  • Memorial Sisli Hastanesi
    Istanbul, 34385, Turkey (Türkiye)
  • Dokuz Eylül University
    Izmir, 35220, Turkey (Türkiye)
  • Adana Baskent University Hospital
    Yüreğir, 01250, Turkey (Türkiye)
  • Cambridge University Hospitals NHS Foundation Trust - Addenbrooke's Hospital
    Cambridge, CB2 0QQ, United Kingdom
  • The Royal Liverpool and NHS Broadgreen University Hospitals - Royal Liverpool University Hospital
    Liverpool, L7 8XP, United Kingdom
  • St George's University Hospitals - NHS Trust
    London, SW17 0QT, United Kingdom
  • Wythenshawe Hospital
    Manchester, M23 9LT, United Kingdom
  • The Newcastle upon Tyne Hospitals NHS Foundation Trust - Freeman Hospital
    Newcastle upon Tyne, NE7 7DN, United Kingdom
  • Institucion Medica Uruguaya
    Montevideo, Uruguay
08

References and documents

Publications

  • Bockler D, Fitridge R, Wolf Y, Hayes P, Silveira PG, Numan F, Riambau V; ENGAGE Investigators. Rationale and design of the Endurant Stent Graft Natural Selection Global Postmarket Registry (ENGAGE): interim analysis at 30 days of the first 180 patients enrolled. J Cardiovasc Surg (Torino). 2010 Aug;51(4):481-91. PubMed 20671632 ↗
  • Stokmans RA, Teijink JA, Forbes TL, Bockler D, Peeters PJ, Riambau V, Hayes PD, van Sambeek MR. Early results from the ENGAGE registry: real-world performance of the Endurant Stent Graft for endovascular AAA repair in 1262 patients. Eur J Vasc Endovasc Surg. 2012 Oct;44(4):369-75. doi: 10.1016/j.ejvs.2012.07.005. Epub 2012 Jul 24. PubMed 22835762 ↗
  • Stokmans RA, Teijink JA, Cuypers PW, Riambau V, van Sambeek MR. No differences in perioperative outcome between symptomatic and asymptomatic AAAs after EVAR: an analysis from the ENGAGE Registry. Eur J Vasc Endovasc Surg. 2012 Jun;43(6):667-73. doi: 10.1016/j.ejvs.2012.02.034. Epub 2012 Mar 21. PubMed 22440235 ↗
  • Dubois L, Novick TV, Harris JR, Derose G, Forbes TL. Outcomes after endovascular abdominal aortic aneurysm repair are equivalent between genders despite anatomic differences in women. J Vasc Surg. 2013 Feb;57(2):382-389.e1. doi: 10.1016/j.jvs.2012.09.075. Epub 2012 Dec 21. PubMed 23266281 ↗
  • Pol RA, Zeebregts CJ, van Sterkenburg SM, Reijnen MM; ENGAGE Investigators. Thirty-day outcome and quality of life after endovascular abdominal aortic aneurysm repair in octogenarians based on the Endurant Stent Graft Natural Selection Global Postmarket Registry (ENGAGE). J Vasc Surg. 2012 Jul;56(1):27-35. doi: 10.1016/j.jvs.2011.12.080. Epub 2012 Mar 28. PubMed 22459746 ↗
  • Tang T, Sadat U, Walsh S, Hayes PD; ENGAGE Investigators. Comparison of the endurant bifurcated endograft vs. aortouni-iliac stent-grafting in patients with abdominal aortic aneurysms: experience from the ENGAGE registry. J Endovasc Ther. 2013 Apr;20(2):172-81. doi: 10.1583/1545-1550-20.2.172. PubMed 23581758 ↗
  • Pol RA, Zeebregts CJ, van Sterkenburg SM, Ferreira LM, Goktay Y, Reijnen MM; Endurant Stent Graft Natural Selection Global Postmarket Registry (ENGAGE) Investigators. Outcome and quality of life after endovascular abdominal aortic aneurysm repair in octogenarians. J Vasc Surg. 2014 Aug;60(2):308-17. doi: 10.1016/j.jvs.2014.02.009. Epub 2014 Mar 20. PubMed 24657065 ↗
  • Kiguchi MM, Forbes TL, Teijink JA, Pliagas GA, Ellozy SH, Bockler D, Makaroun MS. Clinical application and early outcomes of the aortouni-iliac configuration for endovascular aneurysm repair. J Vasc Surg. 2014 Dec;60(6):1452-9. doi: 10.1016/j.jvs.2014.08.063. Epub 2014 Oct 3. PubMed 25282698 ↗
  • Faure EM, Becquemin JP, Cochennec F; ENGAGE collaborators. Predictive factors for limb occlusions after endovascular aneurysm repair. J Vasc Surg. 2015 May;61(5):1138-45.e2. doi: 10.1016/j.jvs.2014.11.084. Epub 2015 Feb 2. PubMed 25656594 ↗
  • Dijkstra ML, Zeebregts CJ, Verhagen HJM, Teijink JAW, Power AH, Bockler D, Peeters P, Riambau V, Becquemin JP, Reijnen MMPJ; ENGAGE investigators. Incidence, natural course, and outcome of type II endoleaks in infrarenal endovascular aneurysm repair based on the ENGAGE registry data. J Vasc Surg. 2020 Mar;71(3):780-789. doi: 10.1016/j.jvs.2019.04.486. Epub 2019 Aug 20. PubMed 31443976 ↗
  • Dijkstra ML, van Sterkenburg SM, Lardenoye JW, Zeebregts CJ, Reijnen MM; ENGAGE Investigators. One-Year Outcomes of Endovascular Aneurysm Repair in High-Risk Patients Using the Endurant Stent-Graft: Comparison of the ASA Classification and SVS/AAVS Medical Comorbidity Grading System for the Prediction of Mortality and Adverse Events. J Endovasc Ther. 2016 Aug;23(4):574-82. doi: 10.1177/1526602816648455. Epub 2016 May 10. PubMed 27170150 ↗
  • Broos PP, Stokmans RA, van Sterkenburg SM, Torsello G, Vermassen F, Cuypers PW, van Sambeek MR, Teijink JA. Performance of the Endurant stent graft in challenging anatomy. J Vasc Surg. 2015 Aug;62(2):312-8. doi: 10.1016/j.jvs.2015.03.024. Epub 2015 May 1. PubMed 25937606 ↗

Individual participant data

Plan to share: No — Only multi center data will be available

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 9, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00870051
Responsible party
Sponsor
First posted
Mar 26, 2009
Start date
Apr 8, 2009
Primary completion
Sep 23, 2021
Completion
Sep 23, 2021
Last update
Feb 9, 2022

Study contacts

Vicente Riambau, Prof.
study director · Hospital Clinic of Barcelona
Furuzan Numan, prof
study director · Memorial Hospital Istanbul
Robert A. Fitridge, Dr.
study director · The Queen Elizabeth Hospital, Woodville, South Adelaide, Australia
Yehuda Wolf, Prof.
study director · Tel Aviv Sourasky Medical Center, Israel
Dittmar Böckler, Prof.
study director · Universtiy of Heidelberg, Germany
Paul Hayes, Dr.
study director · Addenbrookes Hospital, Cambridge, Great Britain

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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