Abstract

Witheford et al. should be congratulated for their efforts to study the consequences of different strategies to incorporate the coeliac artery (CA) in fenestrated aortic repair (FEVAR).1 They confirmed the safety of more proximal repairs using a CA fenestration instead of a scallop. More interestingly, they showed a reduction in target vessel instability at the superior mesenteric and renal arteries following the proximal extension of the repair. This reinforces the concept popularised in the last decade of incorporating all renovisceral arteries with fenestrations.

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