Physician modification of the Gore conformable endovascular aortic device using inner branches

Endovascular aortic repair has become the preferred treatment modality for patients with abdominal aortic aneurysms. However, there are no commercially available endovascular options in patients with infrarenal necks measuring <4 mm. To address the limitations of commercially available options, physician-modified endografts became a technique used by vascular surgeons. In this report, we describe a case of a patient treated with a physician-modified Gore conformable endograft using inner branches along with how to perform the procedure.