Rodney De Palma1,2,3, Nawsad Saleh1,2, Andreas Ruck1,2, Magnus Settergren1,21Karolinska Institute, Stockholm, Sweden
2Karolinska University Hospital, Stockholm, Sweden
3Electronic correspondence: email@example.com
|Percutaneous valve implantation is a recognized therapy for calcific aortic stenosis in those patients who are inoperable or at high surgical risk. The transfemoral approach is the most frequently used method for device delivery, but a tortuous calcific aorta and the inflexibility of large-caliber endovascular equipment can impede progress or even cause||the procedure to be abandoned. Herein, the use of a technique employing a snare to safely overcome device obstruction in the aortic arch of an elderly female patient is described. The technique may be of practical value whenever any large-caliber device is obstructed in the circulation.
The Journal of Heart Valve Disease 2016;25:501-503
|Retrograde Snare Technique to Overcome Hostile Aortic Arch Anatomy During Transcatheter Aortic Valve Implantation|
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