@AlmousaOmamah Cover the renals and go to sma if you can seal. Maybe snorkel higher if needed. Do you want to be on dialysis or possibly not alive is the question.
@StephaneElkouri Seen some not so good outcomes acutely intraop with VBX in EIA maybe due to angulation or tortuously of the vessel. Viabahn usually is my choice.
Vici to the rescue! Patient with occluded wall stent and very poor QOL. Went from hospital to hospital. I went around the wall stent and crushed it and placed a Vici. Last pic is 2 weeks postop. She loves it !! #commonmansurgeon. Thanks @bostonsci for the support.