Can tiny screws make aneurysm repair safer for wide necks?
NCT ID NCT05484115
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study compares standard stent-graft repair (EVAR) to a technique that adds small metal anchors (Heli-FX EndoAnchors) to secure the graft in patients with wide-neck abdominal aortic aneurysms. About 300 adults with aneurysms and a neck diameter between 28-32 mm will be randomly assigned to one of the two procedures. The goal is to see if the anchors reduce leaks, graft movement, or aneurysm growth over time.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Heli-FX EndoAnchor system (small metal screws used to secure a stent graft in place during aneurysm repair)
- What this could lead to
- If successful, this approach could reduce the risk of leaks or graft movement in people with wide-neck aneurysms, potentially improving long-term safety of the repair.
- What could go wrong
- This is a relatively early-stage randomized trial, and the added anchors may not significantly improve outcomes over standard repair. There are also risks of vessel injury or device complications.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 300 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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May 2023
- Expected to finish
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Apr 2033
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age 18 years or older * Provided written informed consent * Clinical necessity for treatment of the AAA, according to the current guidelines in the geographies participating * Elective repair * Eligible anatomy for treatment with the Endurant II/IIs stent graft system and Heli-FX EndoAnchor system according to the IFU of both devices * Infrarenal neck diameter ≥ 28 mm and ≤32 mm * Proximal neck length ≥10mm Exclusion Criteria: * Anatomy outside the IFU of the ndurant II/IIs stent graft system and Heli-FX EndoAnchor system * Planned use of AUI main body device * Patient is participating in another clinical study, potentially conflicting with the outcomes of the current study. * Patient with eGFR \< 30 ml/min/1.73m2 before the intervention * Patient's life expectancy \<2 years as judged by the investigator * Patient has a psychiatric or other condition that may interfere with the study * Patient has a known allergy to any device component * Patients with a systemic infection who may be at increased risk of endovascular graft infection. * Patient has a coagulopathy or uncontrolled bleeding disorder * Patient has a ruptured, leaking, or mycotic aneurysm * Patient is not eligible for standard EVAR * Patient had a Cerebro Vascular Accident (CVA) or a myocardial infarction (MI) within the prior three months * Patient is pregnant (Female patients of childbearing potential only) * Patient has active COVID-19 infection or has been diagnosed with long COVID-19 requiring hospitalization within the 6 months prior to procedure. * Patient has previously been treated with stent grafts in the aorto-iliac arteries
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Aortic aneurysm, abdominal are added.
Genom att skicka in godkänner du våra Användarvillkor
Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
36 sites in 8 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Show contact details
Enter your email to view the contact information for this study.
Genom att skicka in godkänner du våra Användarvillkor
Study contacts
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Contact
Email: •••••@•••••
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Contact
Email: •••••@•••••
Locations
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Alina Health
RECRUITINGMinneapolis, Minnesota, 55407, United States
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Asklepios Klinik Langen
RECRUITINGLangen, Hesse, 63225, Germany
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Ballad Health/Holston Valley
RECRUITINGKingsport, Tennessee, 37660, United States
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Barnes-Jewish Hospital
RECRUITINGSt Louis, Missouri, 63110, United States
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Beaumont University Hospital
RECRUITINGRoyal Oak, Michigan, 48073, United States
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Catharina Ziekenhuis
RECRUITINGEindhoven, Netherlands
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EHC-Hôpital de Morges
RECRUITINGMorges, 1110, Switzerland
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HCL Lyon
RECRUITINGLyon, 69002, France
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Henry Ford Hospital
NOT_YET_RECRUITINGDetroit, Michigan, 48202, United States
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Hospital Clinic de Barcelona
RECRUITINGBarcelona, Spain
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Hospital Clinico Universitario Lozano Blesa
RECRUITINGZaragoza, 50009, Spain
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Hospital Universitario Miguel Servet
NOT_YET_RECRUITINGZaragoza, 50009, Spain
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IRCCS Ospedale Policlinico San Martino
RECRUITINGGenova, Metropolitan City of Genoa, 16132, Italy
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Leeds General Infirmary
RECRUITINGLeeds, LS1 3EX, United Kingdom
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Les Franciscaines
RECRUITINGNîmes, 30000, France
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Loyola
RECRUITINGMaywood, Illinois, 60153, United States
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Mt Sinai Med Ctr
RECRUITINGMiami Beach, Florida, 33140, United States
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NC Heart& Vascular
RECRUITINGRaleigh, North Carolina, 27607, United States
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Noordwest ziekenhuis
NOT_YET_RECRUITINGAlkmaar, North Holland, 1815 JD, Netherlands
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Osp. S.Orsola Malpighi - Bologna
RECRUITINGBologna, 40138, Italy
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Penn State Health Milton S. Hershey Medical Center
RECRUITINGHershey, Pennsylvania, 17036, United States
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Promedica Toledo Hospital
RECRUITINGToledo, Ohio, 43606, United States
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Queen Elizabeth University Hospital, Glasgow
RECRUITINGGlasgow, United Kingdom
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Rijnstate hospital
RECRUITINGArnhem, 6815 AD, Netherlands
Contact Email: •••••@•••••
Contact Email: •••••@•••••
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Robert Wood Johnson University Medical Center
RECRUITINGNew Brunswick, New Jersey, 08901, United States
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Saint Joseph Marseille
RECRUITINGMarseille, 13285, France
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Sisters of Charity hospital
RECRUITINGBuffalo, New York, 14214, United States
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Spaarne Gasthuis
NOT_YET_RECRUITINGHaarlem, North Holland, 2000 AK, Netherlands
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St. George's Hospital
RECRUITINGLondon, SW17 0QT, United Kingdom
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St. Mary's Hospital
RECRUITINGLondon, United Kingdom
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Stony Brook University Medical Center
RECRUITINGStony Brook, New York, 11794, United States
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Universitatsklinikum Frankfurt
NOT_YET_RECRUITINGFrankfurt, 60596, Germany
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University Hospital Leipzig
RECRUITINGLeipzig, 04103, Germany
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University of Missouri
RECRUITINGColumbia, Missouri, 65211, United States
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Virginia Commonwealth University (VCU)
RECRUITINGRichmond, Virginia, 23284, United States
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Washington Regional Medical Center
RECRUITINGWashington, Arkansas, 27962, United States
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