Thoracic endovascular aortic repair (TEVAR) wth chimney of subclavian artery

An 88-year-old man was referred due to back and flank pain with the diagnosis of Crawford Type 1 thoraco-abdominal aneurysm (TAA) starting at the and left subclavian artery extending to the renal arteries
As the LSA bypass was not feasible due to patient's frailty and old age, we conducted single Chimney Thoracic endovascular aortic repair (TEVAR) using a V12 cover stent inserted from the Left brachial in subclavian artery, followed by TEVAR from the left carotid artery to the celiac trunk. Due to a severe bend in the descending aorta, procedure was more complicated which was managed by an extra stent graft. The femoral access was managed by Perclose Proglide technique.

[@arsin548]

it’s great 👍🏻

[@YaserJenabCardiologyInPractice]

Thanks