First reported case of successfully deploying the GORE Thoracic Branch Endoprosthesis under local anaesthesia

Thoracic endovascular aneurysm repair (TEVAR) is an effective treatment option for thoracic aortic penetrating atherosclerotic ulcers (PAU) in both elective and emergency situations. The benefits of TEVAR over open surgery include reduced morbidity, length of hospital stay and short-term mortality. The GORE Thoracic Branch Endoprosthesis (TBE) increases the breadth of pathology that can be treated entirely percutaneously by allowing zone 2 TEVAR with preservation of the left subclavian artery. As it is an off-the-shelf device, it can be used in urgent cases. We present the first TBE deployed for PAU under local anaesthesia in the UK.