Custom-Made Conical Endograft in the Treatment of Saccular Abdominal Aortic Aneurysms with Tight and Calcified Distal Neck: Thinking Out of the Box

The use of a conical TREO CM endograft with a proximal cuff provides a firm fixation centrally and a sufficient distal sealing design in AAAs with calcified and tight distal aorta, constituting a reliable alternative to bifurcated endografts or aortouniliac configurations followed by crossover adjuncts.