Endologix announced on 3 November 2010 the first clinical implant of the company’s Ventana fenestrated stent graft at Auckland City Hospital in Auckland, New Zealand. The procedure was performed by Andrew Holden, associate professor and director of Interventional Radiology, and Andrew Hill, associate professor of Surgery. Attending the procedure as a medical advisor was Daniel G Clair, chairman, Cleveland Clinic Department of Vascular Surgery, Cleveland, USA. This was the first case in the pilot study of this novel endovascular platform and the patient’s juxtarenal aneurysm was successfully excluded while maintaining full perfusion of the renal arteries and visceral vessels.
The Ventana fenestrated stent graft is a new aortic extension designed to be used with the anatomically-fixed Powerlink bifurcated stent graft. It was developed to provide an off-the-shelf treatment option for the endovascular repair of juxtarenal and certain pararenal aortic aneurysms, which represent complex aneurysms that extend near to or involve the renal arteries. There are currently no FDA-approved, commercially available endovascular options for these patients.
Holden commented, “We are very excited to have successfully completed the first human Ventana fenestrated stent graft procedure in the world. Given our extensive experience with aortic aneurysmal disease and understanding the limitations of all commercially available endovascular devices, we believe that Ventana has the potential to address a significant unmet clinical need a minimally invasive alternative for patients presenting with juxtarenal or pararenal aortic aneurysm. We look forward to participating in the Ventana clinical programme and, following the completion of regulatory processes, having this important new technology available to treat our patients who otherwise have few options.”
Clair added, “Unfortunately, many patients with juxtar and pararenal aortic aneurysms do not have much time to wait and need to be treated immediately to avoid aneurysm rupture. The Ventana off-the-shelf design is unique in that it represents a potential minimally invasive solution for these difficult to treat aneurysms. The device also leverages the good clinical results of the Powerlink design and anatomical fixation. I am pleased with the progress that Endologix has made developing this device and look forward to initiating a US multicentre clinical trial in 2011.”
Beginning with the first clinical cases being performed with Ventana at Auckland City Hospital, Endologix will continue enrolling patients in international clinical studies in 2011. The results will be used to support international regulatory approvals to market the device, with international commercialisation expected to commence in 2012. Endologix also expects to submit an Investigational Device Exemption (IDE) to the FDA to support initiation of a prospective, multicentre, clinical trial in 2011.
John McDermott, Endologix president and chief executive officer said, “The successful first implant of the Ventana fenestrated stent graft is a major milestone for the company. Through our close collaboration with physicians, we have completed extensive development and testing of the new device and look forward to making this technology available to physicians and their patients in the near future. We believe that Ventana will expand the EVAR market as it represents the first off-the-shelf solution to treat patients who otherwise have limited or no endovascular options. In combination with our recently announced acquisition of Nellix, Endologix will be able to treat the widest range of abdominal aortic aneurysm anatomies, which further strengthens our position as an innovation leader in the marketplace.”