Related Experiment Video
Updated: Sep 8, 2025

04:56
Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm
Published on: August 1, 2025
95
Transaxillary Tri-Branch Aortic Endovascular Graft Repair of Recurrent Thoracoabdominal Aneurysm With Pararenal
Luca Bertoglio1, Alice Lopes2, Enrico Rinaldi1
1Division of Vascular Surgery, Vita-Salute San Raffaele University, IRCCS San Raffaele Hospital, Milan, Italy.
Abstract:
The absence of an adequate ileo-femoral access is usually considered an absolute contraindication to fenestrated and branched aortic repairs. Alternative routes and dedicated stent-graft designs have been advocated. Hereby, we describe the case of a 73-year-old man with a recurrent type IV thoracoabdominal aortic aneurysm and complete thrombotic pararenal aortic occlusion treated successfully with a tri-branch custom-made endograft deployed via a transaxillary access.

