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tivar is a non-surgical or endovascular repair of thoracic aortic aneurysm with a stem graft the procedure is typically performed by a groin or thermal artery approach rather than with major chest incision and general anesthesia to repair the thoracic aortic aneurysm thatamp;#39;s located in the chest cavity percutaneous fever is minimally invasive non-surgical repair of thoracic aortic aneurysm via endovascular approach using percutaneous approach local anesthesia and conscious sedation this procedure is much better tolerated in surgery by patients with serious Heart and Lung conditions and also in elderly we perform the majority of these procedures only with the use of local growing anesthesia and femoral artery access and repair via catheter rather than surgery most of the fevers can be performed in the cardiac cath lab and after the procedure the patient can be monitored in a regular hospital room rather than Surgical Intensive Care Unit the results of Diva are very good in proper