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Updated: Jun 17, 2026

Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm
04:56

Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm

Published on: August 1, 2025

Endovascular treatment of massive thoracic aortic thrombus and associated ruptured atheroma

Patrick S Wolf1, H E Guy Burman, Benjamin W Starnes

  • 1Harborview Medical Center, University of Washington, Division of Vascular Surgery, Seattle, WA 98104, USA.

Annals of Vascular Surgery
|December 29, 2009
PubMed

Atheroembolic disease typically presents with isolated lower extremity digital ischemia. Treatment traditionally includes optimization of medical management, with open surgery reserved for complicated or recurrent embolic events. We present a novel endovascular approach for treatment of complicated thoracic aortic atherosclerotic disease incidentally discovered in a 63-year-old female. The patient demonstrated visceral artery embolization from a mobile 2.6 cm atherosclerotic plaque despite maximal medical therapy. Thoracic aortic stent graft placement successfully excluded the atheroma and prevented further embolization. This case demonstrates a unique treatment option for complicated thoracic aortic atheroembolic disease utilizing a minimally invasive endovascular approach.

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