1460837614-094bdbb4-306c-4307-84af-b0834341e078

A compound of formula I wherein X, R1, R2a, R3a, R3b, R4a, R4b, R4c and R5 are defined herein. The insertion element, is capable of being fabricated and installed with a length greater than 120 cm, and is distinguished by a long service life. A sheath on the introducer extends over the branched stent graft to the nose cone dilator.