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Updated: Aug 18, 2026

Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm
Published on: August 1, 2025
[Surgical treatment of abdominal aortic aneurysms in octogenarians]
Zhen-yu Shi1, Wei-guo Fu, Yu-qi Wang
1Institute of Vascular Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
Objective:
To evaluate the open surgery as well as the endovascular treatment of abdominal aortic aneurysms (AAA) in octogenarians.
Methods:
Twenty AAA cases aging from 80 to 90 in the past six years were reviewed. Open surgery on 12 patients and endovascular repair on the other 8 ones were performed.
Results:
During peri-operation, there were 2 mortality from the surgical group among all 20 cases. The endovascular group underwent significantly better operational procedure and complication situation than the surgical one. Eighteen cases were followed up for 3-69 months (average months) except for 2 patients of surgical group. Both group suffered 2 late mortality. The accumulated survival rate were 6/10 in the surgical group and 6/8 in the endovascular group, respectively.
Conclusion:
Surgical treatment in applicable for octogenarians with AAA. The endovascular repair was preferable to suitable cases.
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