Abstract
Endovascular techniques for complex aortic aneurysm repair include fenestrated endovascular aortic repair, branched aortic grafts, and parallel stent-grafts. These require durable stent-grafts to maintain renovisceral perfusion and limit endoleak and gutter leaks, specifically the occurrence of type Ic endoleaks between stent-graft and distal target vessel attachment and the occurrence of type IIIc endoleaks between renovisceral stent placement and fenestration of the main aortic graft. Others have anecdotally reported an increase in type IIIc endoleaks with VBX stents (W.
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