Guiding Principles for Physician-Modified Endografts

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Company-manufactured custom-made devices are preferred for complex endovascular aortic repair but have limitations in availability and manufacturing time.
2

Physician-modified endografts provide an alternative for patients who cannot use custom-made devices, allowing for patient-specific modifications.
3

PMEG procedures should be performed in specialized aortic centers with sufficient expertise to manage complications and ensure procedural success.
4

Dedicated training and proctoring are essential for operators starting PMEG programs, as skills required differ from those for custom-made devices.
5

Standardized planning methods and reproducible techniques are necessary for PMEG to ensure optimal outcomes and consistency across different operators.

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