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Updated: Jun 5, 2026

Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm
Published on: August 1, 2025
Endovascular exclusion of a saccular aortic aneurysm using a septal occluder device
1Vascular Surgery & Endovascular Therapy, Loyola University Chicago-Loyola University Medical Center, Maywood, IL 60153, USA.
Insights
Endovascular repair of visceral abdominal aortic aneurysms is challenging. A large saccular aneurysm was successfully excluded using an Amplatzer atrial septal occluder device.
Area of Science:
- Vascular Surgery
- Interventional Cardiology
- Medical Device Technology
Background:
- Aneurysms in the visceral segment of the abdominal aorta present significant endovascular repair challenges.
- Traditional surgical approaches carry high morbidity and mortality rates for these complex cases.
Observation:
- A patient presented with a large saccular aneurysm specifically involving the visceral segment of the abdominal aorta.
- The aneurysm's location and morphology posed a technical challenge for standard endovascular techniques.
Findings:
- Successful exclusion of the visceral abdominal aortic aneurysm was achieved through endovascular means.
- An Amplatzer atrial septal occluder device was utilized for the endovascular exclusion procedure.
Implications:
- This case demonstrates a novel application of an atrial septal occluder device for complex aortic aneurysms.
- The findings suggest a potential alternative endovascular strategy for visceral abdominal aortic aneurysms, expanding treatment options.
Abstract:
Endovascular repair of aneurysms involving the visceral segment of the abdominal aorta still remains a challenge. We report a patient with a large saccular aneurysm involving the visceral segment of the abdominal aorta that was ultimately excluded by endovascular deployment of an Amplatzer atrial septal occluder device (AGA Medical/St. Jude Medical, St Paul, Minn).
