Use of a Microcatheter to Cannulate the Contralateral Gate in Endovascular Aortic Repair.

IF 0.7 4区 医学 Q4 PERIPHERAL VASCULAR DISEASE Vascular and Endovascular Surgery Pub Date : 2025-02-01 Epub Date: 2017-03-05 DOI:10.1177/1538574417697209
Geert Maleux, Sabrina Houthoofd, Inge Fourneau
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Abstract

Cannulation of the contralateral gate is a crucial step in endovascular aortic aneurysm repair (EVAR) to configure a modular stent-graft. Most commonly, the contralateral gate is cannulated retrogradely using a conventional catheter and hydrophilic guide wire; if this maneuver fails, a cross-over technique or additional access in the left brachial artery in association with a contralateral femoral snare catheter may be used. A cross-over technique using a microcatheter and a contralateral snare catheter might be a valuable alternative to cannulate the contralateral gate, especially in cases where there is a partly nondeployed contralateral stent-graft limb.

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在血管内主动脉修复术中使用微导管插入对侧门。
在血管内主动脉瘤修补术(EVAR)中,对侧动脉门插管是配置模块化支架移植物的关键步骤。最常见的方法是使用传统导管和亲水导丝逆行插入对侧动脉门;如果这种方法失败,则可使用交叉技术或与对侧股骨套管导管相结合的左肱动脉额外入路。使用微导管和对侧套管导管的交叉技术可能是在对侧门插管的重要替代方法,尤其是在对侧支架移植肢体部分未展开的情况下。
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来源期刊
Vascular and Endovascular Surgery
Vascular and Endovascular Surgery SURGERY-PERIPHERAL VASCULAR DISEASE
CiteScore
1.70
自引率
11.10%
发文量
132
审稿时长
4-8 weeks
期刊介绍: Vascular and Endovascular Surgery (VES) is a peer-reviewed journal that publishes information to guide vascular specialists in endovascular, surgical, and medical treatment of vascular disease. VES contains original scientific articles on vascular intervention, including new endovascular therapies for peripheral artery, aneurysm, carotid, and venous conditions. This journal is a member of the Committee on Publication Ethics (COPE).
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