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

J Heart Valve Dis. 2016 Jul;25(4):501-503.

Abstract

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.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aorta, Thoracic / diagnostic imaging
  • Aorta, Thoracic / pathology*
  • Aorta, Thoracic / surgery*
  • Aortic Valve / diagnostic imaging
  • Aortic Valve / pathology*
  • Aortic Valve / surgery
  • Aortic Valve Stenosis / diagnostic imaging
  • Aortic Valve Stenosis / pathology
  • Aortic Valve Stenosis / surgery*
  • Calcinosis / diagnostic imaging
  • Calcinosis / pathology
  • Calcinosis / surgery*
  • Computed Tomography Angiography
  • Female
  • Heart Valve Prosthesis
  • Humans
  • Imaging, Three-Dimensional
  • Transcatheter Aortic Valve Replacement / methods*

Supplementary concepts

  • Aortic Valve, Calcification of