{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T14:52:13Z","timestamp":1777819933718,"version":"3.51.4"},"reference-count":10,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2018,3,18]],"date-time":"2018-03-18T00:00:00Z","timestamp":1521331200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Outstanding Young Doctors Program of The First Affiliated Hospital of Sun Yat-sen University"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Endovasc Ther"],"published-print":{"date-parts":[[2018,4]]},"abstract":"<jats:p>Purpose: To report the use of the octopus endograft technique to treat a patient with a ruptured thoracoabdominal aortic aneurysm (TAAA). Case Report: A 46-year-old man was diagnosed with a contained rupture of a 9-cm type V TAAA. The presence of an occluded superior mesenteric artery (SMA), a stenotic celiac trunk, an enlarged inferior mesenteric artery (IMA), and rich collaterals with the SMA and celiac trunk made endovascular repair with the octopus endograft technique appear feasible. Two stent-grafts were overlapped in the thoracic aorta with the short limb of the distal bifurcated stent-graft about 3 cm above the celiac trunk and the long limb at the level of the renal arteries. A limb graft was introduced into the long limb of the bifurcated stent-graft and deployed with the lower end just above the orifice of the IMA. The celiac trunk was embolized. Viabahn stent-grafts were deployed through the bifurcated stent-graft limbs to revascularize the renal arteries. Completion angiography suggested free flow in the renal arteries, though the gutters around the Viabahn stent-grafts generated a moderate endoleak that persisted at 4-month follow-up. The gutters were then sealed with coil embolization, which eliminated the endoleak and induced complete thrombosis in the aneurysm sac at the 6-month follow-up. One-year computed tomography revealed significant sac shrinkage. Conclusion: The octopus endograft technique may serve as a feasible, effective, and safe treatment alternative for highly selected patients with ruptured TAAA.<\/jats:p>","DOI":"10.1177\/1526602818761663","type":"journal-article","created":{"date-parts":[[2018,3,19]],"date-time":"2018-03-19T02:15:14Z","timestamp":1521425714000},"page":"237-241","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Octopus Endograft Technique to Treat a Ruptured Thoracoabdominal Aortic Aneurysm"],"prefix":"10.1177","volume":"25","author":[{"given":"Zilun","family":"Li","sequence":"first","affiliation":[{"name":"Division of Vascular Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Henghui","family":"Yin","sequence":"additional","affiliation":[{"name":"Division of Interventional Radiology and Vascular Surgery, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mian","family":"Wang","sequence":"additional","affiliation":[{"name":"Division of Vascular Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ridong","family":"Wu","sequence":"additional","affiliation":[{"name":"Division of Vascular Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chenshu","family":"Liu","sequence":"additional","affiliation":[{"name":"Division of Vascular Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chen","family":"Yao","sequence":"additional","affiliation":[{"name":"Division of Vascular Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guangqi","family":"Chang","sequence":"additional","affiliation":[{"name":"Division of Vascular Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2018,3,18]]},"reference":[{"key":"bibr1-1526602818761663","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2011.11.002"},{"key":"bibr2-1526602818761663","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(03)00227-1"},{"key":"bibr3-1526602818761663","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2009.04.009"},{"key":"bibr4-1526602818761663","doi-asserted-by":"publisher","DOI":"10.1177\/1526602817747282"},{"key":"bibr5-1526602818761663","doi-asserted-by":"publisher","DOI":"10.1177\/1526602817729673"},{"key":"bibr6-1526602818761663","doi-asserted-by":"publisher","DOI":"10.1583\/11-3506R.1"},{"key":"bibr7-1526602818761663","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2013.07.059"},{"key":"bibr8-1526602818761663","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2010.12.041"},{"key":"bibr9-1526602818761663","doi-asserted-by":"publisher","DOI":"10.1583\/11-3556.1"},{"key":"bibr10-1526602818761663","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2014.05.090"}],"container-title":["Journal of Endovascular Therapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1526602818761663","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1526602818761663","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1526602818761663","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T21:29:40Z","timestamp":1777498180000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1526602818761663"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,3,18]]},"references-count":10,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2018,4]]}},"alternative-id":["10.1177\/1526602818761663"],"URL":"https:\/\/doi.org\/10.1177\/1526602818761663","relation":{},"ISSN":["1526-6028","1545-1550"],"issn-type":[{"value":"1526-6028","type":"print"},{"value":"1545-1550","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,3,18]]}}}