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Updated: Aug 25, 2026

Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm
Published on: August 1, 2025
Endovascular therapy of a ruptured intercostal artery aneurysm
Ingolf Töpel1, Markus Steinbauer, Christian Paetzel
1Department of Surgery, University Hospital Regensburg, 93042 Regensburg, Germany. itoepel@web.de
Purpose:
To report the endovascular management of a rare ruptured intercostal artery aneurysm.
Case Report:
A 45-year-old man presented with acute upper back and chest pain. Computed tomography of the chest revealed a ruptured intercostal artery aneurysm. The lesion was treated by endovascular coil embolization distal to the aneurysm and aortic stent-grafting of the intercostal artery origin.
Conclusions:
Ruptured intercostal artery aneurysms can be treated by endovascular techniques. If coil embolization of the intercostal artery origin is not possible, additional aortic stent-grafting can be necessary.
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