Teijink JAW, et al. - Researchers investigated the long-term performance of newer generation stent grafts that have encouraging short and mid-term outcomes via presenting standard endovascular abdominal aortic aneurysm repair outcomes in the ENGAGE registry that included a total of 1263 patients with abdominal aortic aneurysm (AAA) from March 2009 to April 2011 from 79 centers across 30 countries. Challenging features were reported for a significant proportion of the ENGAGE patients, such as 15.2% presented with an AAA diameter >7 cm, 12.0% with proximal neck lengths <15 mm, and 10.2% with infrarenal neck angles >60°. At five year, freedom from type IA endoleaks was reported in 95.2% and from type III endoleaks in 97.4%. Outcomes supported the sustained safety, efficacy, and durability in this international cohort that is reflective of real-world experience.