31/08/2026
**Precise planning, advanced technology, and technical expertise are the key elements in successfully managing complex aortic cases. 🫀**
We recently treated an elderly male patient with a 6 cm Thoracoabdominal Aortic Dissection (TAD) extending from Zone 3 to both iliac arteries, associated with severe true lumen compression and extensive false lumen involvement.
A tailored endovascular strategy was adopted:
🔹 Ankura™ TEVAR Stent Graft deployed with proximal landing in Zone 2 to achieve exclusion of the thoracic entry tear.
🔹 Futhrough™ In-Situ Fenestration Needle technique was performed to create a fenestration and maintain Left Subclavian Artery (LSA) perfusion, despite the Zone 2 landing.
🔹 CERA™ ASD Occluder was subsequently used to facilitate false lumen exclusion, addressing persistent flow within the dissected aortic segment.
The final angiographic assessment demonstrated successful false lumen exclusion with preserved LSA perfusion and an excellent immediate result.
This case highlights how advanced endovascular techniques and precise device selection can expand the possibilities of TEVAR in complex aortic dissection anatomies.
Complex anatomy. Tailored strategy. Precise ex*****on. Successful outcome.
