PVI-Total-endo‑aortic-repair-triple‑lumen-Q1

What would be your primary strategy for this triple‑lumen PDTAAA?
Immediate open repair with full visceral reconstruction
Two‑stage hybrid visceral debranching then distal stent‑graft
Custom branched/fenestrated device once manufactured
Physician‑modified fenestrated endograft in a staged approach
Continue surveillance
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