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Updated: May 9, 2026

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Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm
Published on: August 1, 2025
Thoracal, abdominal and thoracoabdominal aortic aneurysm
F Santosa1, S Schrader, T Nowak
1Department of Vascular Medicine, HELIOS Klinikum, Krefeld, Germany.
Summary
Men have significantly higher rates of aortic aneurysms than women. Gender-specific differences exist in rupture rates and endovascular treatment for abdominal, thoracal, and thoraco-abdominal aortic aneurysms.
Area of Science:
- Vascular Surgery
- Cardiovascular Research
- Public Health
Background:
- Aortic aneurysms, including abdominal (AAA), thoracal (TAA), and thoraco-abdominal (TA-AA) types, present complex disease patterns.
- Existing research suggests potential gender-specific variations in aneurysm development and outcomes.
Purpose of the Study:
- To analyze gender-specific differences in the incidence, rupture rates, and endovascular treatment of AAA, TAA, and TA-AA.
- To compare these differences between males and females hospitalized for aortic aneurysms in Germany.
Main Methods:
- Utilized data from the German DRG-System for patients diagnosed with AAA, TAA, or TA-AA in 2010.
- Analyzed detailed patient lists provided by the Federal Statistical Office.
Main Results:
- Males had over three times more aortic aneurysm cases than females (17,731 vs. 4,657).
- AAA were 6.2 times more frequent in males; TAA and TA-AA were 1.6 and 1.5 times more frequent, respectively.
- Rupture rates increased with age, more pronounced in females. Males showed an age-dependent increase in endovascular treatment for TAA/AAA, unlike females, whose AAA treatment rates decreased with age.
Conclusions:
- Significant gender-specific disparities exist in aortic aneurysm rupture and endovascular treatment across AAA, TAA, and TA-AA.
- Further research is needed to determine if these differences stem from biological factors or disparities in awareness and device compatibility.
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