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Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm
Published on: August 1, 2025
Contained rupture of a celiac artery aneurysm treated with aortic endograft deployment and assisting percutaneous
John C Papakostas1, Emmanouil Theodoropoulos, George Karydas
1Department of Vascular Surgery, G. Gennimatas General Hospital of Athens, Athens, Greece.
Insights
This case report details an emergent treatment for a ruptured celiac artery aneurysm (CAA) using thoracic endografts and a novel coil embolization technique. This approach successfully achieved immediate thrombosis, offering a potential solution for complex CAA cases.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Aortic Aneurysm Research
Background:
- Celiac artery aneurysms (CAAs) are rare but can lead to life-threatening rupture.
- Ruptured CAAs present significant management challenges, particularly those with complex neck anatomy.
Abstract:
In this report we present a case of a ruptured celiac artery aneurysm (CAA) with a thrombosed distal neck, which was treated as an emergently with a deployment of a tube thoracic endograft to the descending thoracic and upper abdominal aorta. The initial treatment was assisted with a second stage percutaneous, transhepatic, ultrasound guided needle infusion of coil and thrombin to the aneurysmal sac due to type Ib endoleak, with immediate thrombosis of the aneurysm. This technique, although not standard,could also be considered as a useful choice for the treatment of CAAs with wide proximal and patent distal neck.
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