Complex multi stage thoracoabdominal aneurysm correction. Branched endograft with forced femoral access and flap perforation
acute type B aortic dissection with thoracic aortic aneurysm. no proximal sealing zone for TEVAR landing and dilated ascending aorta.
-Car-car-sub by pass
-Ascending aortic replacement, ascending to innominate by pass and TEVAR
@ control CTA fast aneurysm enlargement
4 inner branches (two antegrade and two retrograde) custom made endograft.
access to RRA through hole performed in the lamella
forced femoral access (no arch vessel available) with steerable sheat