"Snare-Ride": A Bailout Technique to Catheterize Target Vessels With Unfriendly Anatomy in Branched Endovascular Aortic Repair

Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists
Marcelo FerreiraE L G Verhoeven

Abstract

To describe a novel endovascular bailout technique for successful completion of target vessel stenting during branched stent-graft repair of thoracoabdominal aortic aneurysms (TAAA) after encountering difficulties with standard catheterization techniques. Technical difficulties when using fenestrated and branched grafts should be expected, especially in difficult anatomy or when an off-the-shelf device (eg, standard 4-branch device) is used that does not perfectly "match" the anatomy. The "snare-ride technique" facilitates antegrade transaxillary side branch catheterization and stent placement during TAAA branched grafting using a snare via a transfemoral approach. The branch of the graft is catheterized from an axillary access. The respective target vessel is then catheterized via a femoral access. An Indy snare is advanced over the transfemoral wire and positioned near the entrance of the target vessel. The transaxillary wire inside the branch of the graft is then advanced, snared, and pushed inside the target vessel with the snare. The procedure is thereafter continued with antegrade bridging of the target vessel in routine fashion. The snare-ride technique can be a useful maneuver to catheterize target vessels with difficul...Continue Reading

References

Aug 1, 2009·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Matthew P SweetTimothy A M Chuter
Jun 21, 2015·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Kyriakos OikonomouEric L G Verhoeven
Sep 16, 2015·Journal of Vascular Surgery·Leonardo R de SouzaPeter Gloviczki
Oct 27, 2015·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·George S GeorgiadisFrans L Moll
May 18, 2016·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Young ErbenPeter Gloviczki
Aug 21, 2016·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Adrien HertaultStéphan Haulon

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Citations

Sep 20, 2017·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·August Ysa, Ederi Mikelarena
Jun 6, 2018·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Marcelo FerreiraEduardo Rodrigues
Dec 14, 2017·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Konstantinos SpanosTilo Kölbel
Jan 29, 2020·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Franziska HeidemannTilo Kölbel
Jun 20, 2020·Cardiovascular and Interventional Radiology·Eric L G VerhoevenAthanasios Katsargyris
May 23, 2019·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Ahmed S EleshraNikolaos Tsilimparis
Mar 25, 2021·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Marcelo FerreiraGustavo S Oderich
May 18, 2021·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Giulianna B MarcondesGustavo S Oderich
Jun 18, 2021·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Tobias ZanderManuel Maynar
Sep 9, 2021·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Alexander TschischkaMarcus Katoh

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Aortic Aneurysm

An aortic aneurysm is the weakening and bulging of the blood vessel wall in the aorta. This causes dilatation of the aorta, which is usually asymptomatic but carries the risk of rupture and hemorrhage. Find the latest research on aortic aneurysms here.

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