Introduction Since 2010, the Ovation Abdominal Stent Graft System has offered a new sealing concept, achieved by a sealing ring filled with polymer 13 mm from the renal arteries. In the latest version, called Ovation Alto, the sealing ring is relocated 6 mm closer to the top of the fabric. This study describes the early clinical outcomes, after CE Mark approval in August 2020, of endovascular aneurysm repair with the Alto endograft. Report Eleven patients underwent endovascular aneurysm repair with implantation of Ovation Alto endografts. All patients were male, and the median age was 75 (IQR 5.5) years. Hostile proximal aortic neck (
Highlights • This paper describes the early clinical outcomes with the Ovation Alto stent graft, after CE Mark approval in August 2020. • Procedural technical success and a six month success of 100%. • Technical improvements are that the stent graft may now accommodate a more comprehensive range of anatomies on label.