fig4

Figure 4. The Gore Thoracoabdominal Branch Endoprosthesis (TAMBE) with four antegrade portals to accommodate downgoing arteries (A). Three-dimensional reconstruction of a computed tomographic angiography of a patient with a Type IV thoracoabdominal aortic aneurysm treated with the TAMBE device (B). The final aspect of the antegrade repair with distal extension to the common iliac arteries with the Gore Excluder platform and bridging to the target visceral vessels with balloon-expandable VBX endoprosthesis (C). (Reproduced by permission of Mayo Foundation for Medical Education and Research. All rights reserved).