Pitoulias GA, Torsello G, Austermann M, et al. - For urgent cases of pararenal abdominal aortic aneurysms and aortic pathologic processes, chimney endovascular aneurysm repair (CHEVAR) represents an alternative treatment technique, researchers here examined the outcomes of CHEVAR in the elective setting. In this retrospective analysis, they assessed prospectively collected records of 165 consecutive asymptomatic CHEVAR patients who were treated between March 2009 and January 2018 with the Endurant stent graft (Medtronic, Santa Rosa, Calif). Implantation of a total of 244 chimney grafts (CGs) was recorded. Successful cannulation was achieved in all 244 targeted chimney vessels. Primary and secondary freedom from persistent type IA endoleak rates of 96.4% (n = 159) and 99.4% (n = 164) were reported, respectively. Primary and secondary CG patency rates were 92.2% (n = 225) and 95.9% (n = 234), respectively. The chimney technique was observed to be correlated with reintervention rate of 10.9% (n = 18); of these, 83.3% were performed by endovascular means. Outcomes revealed that midterm clinical results of the elective use of CHEVAR with the Endurant stent graft were favorable in this series; these results are similar to the published results of other total endovascular modalities.