Related Experiment Video
Updated: Jul 15, 2026
Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm
Published on: August 1, 2025
Totally laparoscopic aortohepatic bypass for aortic debranching during endovascular thoracoabdominal aneurysm repair
C Bakoyiannis1, C Cagiannos, S Wasilljew
1Department of Vascular Surgery and Endovascular Therapy, Augusta Hospital Düsseldorf FRG, Germany. bakogian@hotmail.com
Introduction:
Endovascular grafting of the aorta is gaining widespread acceptance for treating aortic aneurysms. Para-renal aneurysms or thoraco-abdominal aneurysms may be a relative contra-indication for endovascular aneurysm repair (EVAR) unless visceral vessels can be debranched.
Report:
We describe a case of thoraco-abdominal aneurysm extending from the descending thoracic aorta to the level of coeliac artery. A totally laparoscopic retrograde aorto-hepatic bypass was performed in conjunction with endograft exclusion of the aneurysm and coverage of the coeliac artery ostium.
Discussion:
Laparoscopic debranching of visceral vessels extends the indications of EVAR.
