Related Experiment Video
Updated: Nov 9, 2025

Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm
Published on: August 1, 2025
Off-Label Use of a Flared Endograft Limb for Treatment of a Complicated Anastomotic Abdominal Aortic Pseudoaneurysm:
José Antonio Brizuela Sanz1, Elena García Rivera1, Cristian Hernández Crespo1
1Angiology and Vascular Surgery Department, Hospital Clínico Universitario de Valladolid, Universidad de Valladolid, Valladolid, Spain.
Abstract:
A case of complicated abdominal aortic pseudoaneurysm not suitable for open repair is described. It was treated by means of endovascular methods with a flared endograft limb. The uniqueness of this case is the absence of a suitable femoral access, requiring the deployment of the graft in a reversed configuration through axillary artery. The technique is described and the need of imaginative off label use of endovascular devices in such emergent cases is discussed.

