Related Experiment Video
Updated: Jun 3, 2026
06:26
Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
Dual wire technique for aortic coarctation stent placement.
Konstantinos Lampropoulos1, Werner Budts, Marc Gewillig
1Congenital, University Hospitals Leuven, Belgium.
Summary
A novel double wire technique safely treated aortic coarctation in a young adult. This method ensured the large left subclavian artery remained accessible after stent deployment.
Area of Science:
- Cardiovascular Surgery
- Interventional Cardiology
- Medical Device Technology
Background:
- Aortic coarctation is a congenital narrowing of the aorta, often requiring intervention.
- Percutaneous stenting is a common treatment, but challenging with complex anatomy.
- Large side branches near the coarctation pose a risk of obstruction during stenting.
Observation:
- A young adult patient presented with narrow aortic coarctation and a large left subclavian artery originating proximally.
- A standard stenting approach risked excluding or "jailing" the critical left subclavian artery.
- A "double wire technique" was employed for precise stent placement.
Findings:
- Two guide wires were advanced from a femoral approach, one into the aortic arch and another into the left subclavian artery.
- A stent was delivered over these wires, crimped on a balloon, within a large introducer sheath.
- A kissing balloon technique finalized stent deployment, relieving the aortic narrowing and preserving flow to the subclavian artery.
Implications:
- The double wire technique offers a safe and effective method for stenting aortic coarctation with challenging proximal side branches.
- This approach guarantees access to important arteries like the left subclavian artery post-intervention.
- It provides a valuable alternative for complex percutaneous aortic interventions, enhancing patient outcomes.
