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Updated: Jun 19, 2026

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Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm
Published on: August 1, 2025
[Thoracic endovascular aortic repair for arch aneurysms]
1Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.
Nihon Geka Gakkai Zasshi
|October 16, 2009
Summary
Hybrid endovascular repair offers a promising solution for complex aortic arch aneurysms, potentially becoming the preferred treatment. This approach aims to improve patient quality of life by minimizing surgical invasiveness and complications.
Area of Science:
- Cardiovascular Surgery
- Vascular Endovascular Therapy
- Aortic Aneurysm Treatment
Context:
- Aortic arch aneurysms present significant surgical challenges and postoperative complications, impacting patient quality of life.
- Minimally invasive surgical techniques are increasingly adopted to improve patient outcomes and quality of life.
- Pioneering techniques include open stent grafting and debranched thoracic endovascular aortic repair.
Purpose:
- To report early and long-term results of hybrid endovascular repair for aortic arch aneurysms.
- To evaluate the efficacy and safety of novel endograft devices and techniques.
- To compare outcomes of different surgical approaches for aortic arch pathologies.
Summary:
- The study details the development and application of hybrid endovascular repair for aortic arch aneurysms.
- New methods include branched open stent (BOS) grafts, avoiding sutures and lateral thoracotomy.
- Clinical trials for fenestrated endograft devices like Najuta are underway.
Impact:
- Fenestrated and branched grafts show potential for treating aortic arch conditions.
- Hybrid endovascular repair may emerge as the primary treatment modality for aortic aneurysms.
- Improved patient quality of life through less invasive procedures is a key outcome.
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