During his visit to Mansoura, he performed an advanced aortic intervention procedure for one patient with Aortic Dissection. The procedure was Insitu Needle Fenestration for Left Subclavian Artery with TEVAR using new gutter-free C-skirt stent graft. It was done for the first time in Egypt by the investigator of the technique. Thursday Morning, Dr. Chang Shu and Dr. Mohamed Hosni Eldesokki; visited Gamal Abdelnasser Hospital, Alexandria. They did another advanced aortic intervention for a patient suffering from Aortic dissection through insitu needle fenestration TEVAR. We were proud to welcome Dr. Chang Shu at the historical Princess Fatma palace. Dr. Chang Shu summarized his practice during the last decade treating aortic arch pathologies such as aortic dissections and aneurysms which is challenging for vascular surgeons. He confirmed that the chimney (C-TEVAR), on-the-table fenestration (F-TEVAR), and in-situ fenestration (I-TEVAR) are TEVAR-assistive techniques, that could be accomplished with readily available devices. And, concluded that Total endovascular treatments for patients with aortic arch pathologies are challenging because of the diverse vascular anatomies of both the aorta and the aortic branches. The signing ceremony was successfully done between Dr. Mohamed Hosni Eldessoki (Egypt) and Dr. Chang Shu (China). They signed a Goodwill Agreement between the Egyptian Vascular and Endovascular Society and the National Vascular Society of China that ensures that each continent will continue to exchange scientific data to improve care for all patients!