Objectives: Fluctuation in total curvature (δK) significantly outperforms all other available measurements of shape in predicting clinical outcomes after thoracic endovascular aortic repair (TEVAR). We aim to identify if the Nexus® Aortic Arch Stent Graft System is a suitable and safe treatment modality for aortas with high δK. Methods: Twenty-five patients that underwent transcatheter aortic arch repair using the Nexus stent graft were included. 3D aortic models were segmented from the CTA image data using Simpleware ScanIP. The aorta segmentations were then smoothed and the outer surface isolated. A triangular mesh from the outer surface was generated in Python, and the mesh was divided into a number of partitions. δK was calculated by the sum of per partition total curvatures and the fluctuation in total curvature across the entire manifold surface. Failed TEVAR was defined by a) any device-related mortality or b) unplanned or device-related secondary surgical intervention 30 days from index TEVAR. This data was plotted into a pre-defined (δK,L –1 )-feature space with pre-established machine learning-derived boundary conditions. Results: Within a (δK,L –1 )-feature space defined by patients with aortic stent grafts with zone 2 or 3 proximal landing zones, our group used predictive modeling to classify patients into three zones (normal, successful TEVAR, and unsuccessful TEVAR) with 92.8% mean accuracy. Within this pre-defined boundary zone of unsuccessful TEVAR, 72.2% (13/18) of patients with the Nexus stent graft with zone 0 proximal landing zone underwent a successful TEVAR without need for re-intervention. Conclusions: Transcatheter aortic arch repair with a single branch, two-stent graft system with a zone 0 proximal landing zone can offer patients with a high degree of aortic shape fluctuation a greater chance at successful TEVAR than traditional aortic stent grafts with zone 2 or 3 landing zones.