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Updated: May 1, 2026

Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm
Published on: August 1, 2025
Stenting complex aorta aneurysms with the Cardiatis multilayer flow modulator: first impressions.
E Debing1, D Aerden2, S Gallala2
1Department of Vascular Surgery, Universitair Ziekenhuis Brussel, Free University of Brussels, Brussels, Belgium; Brussels Center for Aortic and Cardio-Vascular Connective Tissue Diseases, Universitair Ziekenhuis Brussel, Free University of Brussels, Brussels, Belgium.
The Cardiatis multilayer flow modulator shows promise for complex aortic aneurysms, preserving branch flow and promoting gradual thrombosis. However, immediate rupture risk necessitates further investigation and longer follow-up for this endovascular repair alternative.
Area of Science:
- Vascular Surgery
- Endovascular Interventions
- Aortic Aneurysm Treatment
Background:
- Complex aortic aneurysms often present challenges for standard endovascular repair.
- The Cardiatis multilayer flow modulator (MFM) is an innovative device designed for challenging aortic pathologies.
Purpose of the Study:
- To evaluate the feasibility and efficacy of the Cardiatis MFM in treating complex aortic aneurysms.
- To assess the safety and performance of the MFM in patients unsuitable for conventional stent grafts.
Main Methods:
- A single-center prospective registry study.
- Six patients with complex aortic aneurysms were treated with the Cardiatis MFM.
- Median follow-up duration was 10 months.
Main Results:
- 100% clinical success rate observed.
- Complete aneurysm thrombosis occurred in 4 patients within 1-6 months.
- 100% patency of covered aortic branches was maintained.
- No device-related complications like migration, thrombosis, or fractures were reported.
Conclusions:
- The Cardiatis MFM effectively preserves flow into aortic branches and facilitates gradual aneurysm thrombosis.
- The device did not prevent immediate postoperative rupture in one case.
- Longer follow-up is essential to confirm the long-term efficacy of the Cardiatis MFM.
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