Figure 2. The balloon-assisted technique. (A) A balloon is positioned into the left renal artery; (B) The balloon is gently inflated below the nominal pressure limit (5 atm); (C) Guidewire exchange for a super stiff guidewire can be safely performed and a guiding sheath can be easily delivered into the target artery; (D) The completion angiography showing complete endoleak resolution, patency of all target arteries, and no blush.
