Abstract
Endovascular repair with stent-grafts is now the first line therapy for aortic diseases. In 2011, more than half of patients with abdominal aortic aneurysms underwent endovascular repair in Japan. Endovascular repair is also preferred for the treatment of patients with thoracic aortic diseases. In addition to the fact it has become widely known to patients and physicians, the development of innovative devices leading to an increase of suitable patients for endovascular therapy seems to have contributed to widespread application of this therapy. However, there remain limitations with currently available devices. A variety of technical tips are introduced to overcome the difficulties in this article.