Abstract Numerous bridging devices have been used in patients undergoing complex endovascular aneurysm repair (EVAR) with involvement of one or more target vessels. In this chapter we highlight the most…

Abstract The off-the-shelf multibranched thoracic endograft (t-branch) was created to overcome the limitations of the custom-made multibranched endograft. Consequently, symptomatic and ruptured thoracoabdominal aortic aneurysms can be treated with this…

Abstract Lesions in the aortic arch or descending aorta can be treated using open or endovascular methods. However, involvement of the supra-aortic branches makes treatment demanding. Alternatively to branched custom…

Abstract The sandwich endovascular technique is a total endovascular treatment of thoracoabdominal aortic aneurysms (TAAAs) with use of off-the-shelf devices. The technique consists of three steps: (1) deployment of a…

Abstract The branched stent-graft is custom-made (Cook Medical, Brisbane, Australia) and is available in diameters between 34 and 46 mm, with a covered length of 250 mm. The device is…

Abstract Thoracic aortic aneurysms, which affect the unbranched descending aortic segment between the subclavian and celiac arteries with accompanying sufficient landing zones, can be repaired by standard devices. The Cook…

Abstract Most descending thoracic aortic aneurysms are treated today by implantation of a thoracic endograft. For optimal results, preoperative planning of the procedure is key. Evaluation of the supra aortic…

Abstract Thanks to the Fusion imaging technology it is possible to combine imaging from different modalities together. Its implementation, especially during advanced endovascular procedures, has been shown to reduce the…

Abstract Despite the broad implication of endovascular aneurysm repair (EVAR), robust evidence concerning the treatment of type II endoleaks is missing. Ethylene-Vinyl-Alcohol-Copolymer Liquid Embolic Agent (Onyx) is a therapeutic modality…