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You are here: Contents > 2016 > Volume 25 Number 4 July 2016 > CASE REPORTS > Retrograde Snare Technique to Overcome Hostile Aortic Arch Anatomy During Transcatheter Aortic Valve Implantation

Retrograde Snare Technique to Overcome Hostile Aortic Arch Anatomy During Transcatheter Aortic Valve Implantation

Rodney De Palma1,2,3, Nawsad Saleh1,2, Andreas Ruck1,2, Magnus Settergren1,2

1Karolinska Institute, Stockholm, Sweden
2Karolinska University Hospital, Stockholm, Sweden
3Electronic correspondence: rodney_de_palma@icloud.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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