With the development of endovascular treatment and interventional instruments, endovascular aneurysm repair has become the preferred method for the treatment of abdominal aortic aneurysms. Poor proximal landing zone and abdominal aortic aneurysms involving visceral branch arteries are the main factors restricting the application and affecting the efficacy of this technique. The techniques such as parallel, fenestrated, branched and multi-layered flow-modulating stent grafts and aortic debranching are the main methods for the revascularization of visceral branch arteries at present. Here, the authors briefly discuss above techniques based on relevant research results, so as to provide recommendations for the endovascular treatment of complex abdominal aortic aneurysms.