The 55-year-old Lu is a leading cadre of a municipal hospital in Xuzhou, Jiangsu Province, with a history of smoking and drinking for more than 30 years and a 10-year history of hypertension and hyperlipidemia. There is also no formal treatment. Near the New Year work is relatively busy, a few days ago when resting at night, suddenly felt pain in the lower back, accompanied by abdominal discomfort. Old Lu himself thought it was lumbar spine pain caused by strain, and took some oral analgesic drugs and rested in bed. But the symptoms of lumbar pain not only did not ease, and more and more intense, unbearable, sweating profusely. The family immediately sent him to the hospital where he worked and arranged for an emergency CT examination, the results of which surprised Lao Lu’s family. The doctor told Lao Lu: such a large aneurysm has the risk of rupture at any time, and once ruptured, it will cause hemorrhage, resulting in the patient’s death due to shock. Surgery is needed as soon as possible, and the local hospital does not have such surgical techniques and equipment. There is no hospital in Jiangsu province that is sure to do such a large aneurysm successfully, and the most experienced team in China is Professor Jing Zaiping of the Department of Vascular Surgery at Shanghai Changhai Hospital. After hearing the doctor’s words, Lu’s family saw hope in their bewilderment and was sent to Changhai Hospital by ambulance overnight. Shanghai Changhai Hospital vascular surgery department Lu Qing-sheng patient emergency admission, vascular surgery department Lu Qing-sheng, deputy director of the first time to view the patient after analysis: the patient is currently severe symptoms of lumbar pain, aneurysm rupture risk is extremely high, can not be prepared according to conventional surgery, immediately through the green channel emergency examination. The aortic CTA showed that Lu’s abdominal aortic aneurysm was “gourd-shaped” and consisted of three aneurysms, the proximal aneurysm involved the celiac trunk artery and superior mesenteric artery, the second aneurysm involved both renal arteries, and the third aneurysm was huge, with a maximum diameter of 7.5 cm and severe distortion, and there was already exudation around the aneurysm. These are all precursors to rupture and must be treated surgically as soon as possible to save the patient’s life. However, surgery for such an aneurysm was urgent and tricky. In view of the patient’s condition, Director Jing Zaiping organized an emergency discussion within the department. Director Jing analyzed: according to the patient’s condition and the location of the aneurysm, open surgery is extremely difficult and risky. If the aneurysm was completely isolated by conventional endoluminal isolation, the blood supply of mesenteric artery and renal artery would be affected, causing serious organ ischemia. And if only the largest aneurysm is isolated, a cure will not be achieved. If custom-made individual stent grafts take a long time, the patient’s condition cannot wait. After an urgent consultation, it was decided to perform the procedure using a combination of overlapping stents and bare stents. Our department has been the leader in this technique in China and has accumulated relatively mature experience. Once the plan was decided, the preoperative preparation was completed. Old Lu was pushed into the DSA, and he was awake under lumbar anesthesia, but he was still a little bit nervous, but along with the soft music in the operating room and the orderly operation, he gradually relaxed. According to the intraoperative contrast, Deputy Director Lu Qing Sheng firstly selected the most suitable overlapping stent graft and released it close to the lower edge of the renal artery, so that the most explosive “bomb” was successfully defused. Then, the two proximal tumors were successfully isolated using the multilayer bare stent technique. One hour later, the core of the procedure was successfully completed and the imaging showed that the abdominal aortic aneurysm was completely isolated with no endoleaks. Both renal and superior mesenteric arteries and the abdominal trunk arteries were flowing smoothly. Looking at the imaging images, the operating room was filled with applause, and another vicious battle was taken without bloodshed. The next morning, the old Lu was already sitting on the hospital bed, laughing and smiling, and yesterday’s pain and depression is really like two people. After a thousand thanks, Lao Lu said: this technology is really amazing, the operation is completely no feeling, pulled me back from the Palace of Hell. Our hospital should also set up a vascular surgery department and send doctors to your place to learn this “bomb disposal” technique!