A Case Report of Endografting Using a Long Sheath under the Assistance of a Through-and-Thorough Wire Technique for an Extremely Tortuous Aortic Anatomy

Introduction: Despite its rapid technological development and widespread uptake for thoracic aortic disease, an extremely tortuous anatomy is considered a contraindication endovascular repair procedure. We report case of successful using techniques to straighten aorta friendly. Methods: A 78-year-old man with frequent surgical history was admitted our outpatient clinic because dyspnea back pain. Enhanced computed tomography scan revealed type Ib endoleak, acute enlargement the remnant native aorta. successfully performed Gore DrySeal 65 cm sheath, combined C-Tag device under assistance through-and-thorough wire technique in distal descending Conclusions: Using all available techniques, can be even most