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Updated: Jan 22, 2026

Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm
Published on: August 1, 2025
Extra-anatomical splanchnic revascularization for hybrid treatment of thoracoabdominal aortic aneurysms
Igor Vendramin1, Paolo Frigatti2, Andrea Lechiancole1
1Cardiothoracic Department, University Hospital of Udine, Udine, Italy.
Abstract:
Treatment of thoracoabdominal aortic aneurysms with endovascular or conventional surgical techniques is burdened by high risk in older patients. Furthermore, the standard hybrid approach might be not feasible in case of severe atherosclerotic disease of the peripheral vessels. This report describes an alternative hybrid procedure which consists of an innovative mini-invasive thoracic approach combined with laparotomy to perform antegrade revascularization of the visceral arteries from the ascending aorta, followed by endovascular treatment.
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