Combination of Octopus and Periscope Techniques for the Management of Visceral Branches From Type V Thoracoabdominal Aortic Aneurysm: A Case Report

To describe an endovascular technique combining the octopus and periscope techniques for the treatment of a patient with type V thoracoabdominal aortic aneurysm in order to protect the patient's visceral circulation.An 84-year-old male patient was hospitalized for type V thoracoabdominal aortic aneurysm involving celiac axis, superior mesenteric artery, and both renal arteries. The patient's aneurysm was successfully treated by combining the octopus technique and periscope techniques. The 1-year follow-up computed tomography angiography showed that the endograft and the branches were patent. The gutters had thrombosed with no signs of endoleak. No spinal cord ischemia or impairment of the renal function was observed during the follow-up.This case is an example of the successful usage of the combined octopus and periscope techniques in protecting the renovisceral arteries arising from a type V thoracoabdominal aortic aneurysm; this combined technique might be applicable in carefully selected patients.