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Updated: Jul 9, 2026

Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm
Published on: August 1, 2025
Thoracic aneurysm repair: managing severe tortuosity with brachiofemoral traction
Christos Lioupis1, Massimo Medda, Luigi Inglese
1Department of Cardiovascular Radiology, Policlinico San Donato, Milan, Italy. lioupisc@panafonet.gr
Abstract:
Challenging anatomy of the thoracic aorta is often encountered, and aortic tortuosity may be a major impediment to the propulsion of the stent-graft. Traction on both ends of a guidewire, with one end exiting the right upper extremity and the other end exiting the lower extremity, is an excellent option to manage thoracic aorta tortuosity. Careful application of simple guidelines may lessen associated risks and improve safety.
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