Endologix announces first commercial implant of Alto abdominal stent graft system outside of USA

Endologix Alto
Alto abdominal stent graft system

Endologix has announced the first implant of its recently approved Alto endograft outside of the USA, completed by Andrew Holden and Andrew Hill of Auckland City Hospital, Auckland, New Zealand.

“With the 7mm infrarenal placement of its sealing ring, Alto expands the endovascular treatment of AAA [abdominal aortic aneurysm] patients to include short and challenging aortic necks, which represent a significant portion of the underserved AAA market,” commented Holden. “We are excited to add Alto to our endovascular armamentarium and look forward to offering this solution to a broad set of AAA patients.”

Hill added, “The Alto endograft, with its ultra-low-profile delivery system, is ideal for treating patients with small vessels and challenging access. The new system provides a unique endovascular option, representing an important advancement for physicians and their AAA patients.”

“We are excited to commence the global roll-out of Alto. With our planned transition to a more agile private company and our steadfast investments in clinical evidence and innovation, we are poised to meet the needs of our customers and the patients we proudly serve. Alto offers a unique endovascular AAA treatment option and includes design features that we believe will enhance ease-of-use, improve acute outcomes, and preserve long-term durability,” commented John Onopchenko, chief executive officer of Endologix.

“With both FDA [US Food and Drug Administration] approval and CE mark, Alto is an important therapy for physicians and their patients and yet another example of our highly differentiated portfolio of devices aimed at addressing the current unmet needs of endovascular aneurysm repair (EVAR).

“As we continue to execute our strategy, Endologix is committed to investing in the highest levels of clinical evidence, by initiating a head-to-head randomised controlled trial where Alto will be compared to traditional undifferentiated EVAR grafts, with the intent of proving the superiority of Alto.

“We are passionately devoted to our patient-centric mission and its ultimate goal of improving patients’ lives by enabling a single intervention to achieve a long-term durable repair. We sincerely appreciate the support of our physician partners around the globe.”


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