Houérou TL, et al. - Experts evaluated the technique and preliminary outcomes of laser fenestrated endografting (LfEVAR), developed as an alternative procedure for endovascular repair of thoraco-abdominal aortic aneurysms (TAAAs), type IA endoleaks (T1AELs), and pararenal aortic aneurysms (PAAAs). Findings suggested that for high-risk inoperable patients or for those not eligible for custom made device endografting, particularly in emergency cases, in situ antegrade LfEVAR was feasible and a safer alternate.