Ceiling Technique to Facilitate Target Vessel Catheterization During Complex Aortic Repair

Area of Science:

• Vascular Surgery
• Endovascular Interventions
• Aortic Disease Management

Background:

• Challenging visceral vessel catheterization is a common difficulty during complex aortic endovascular procedures.
• Standard cannulation techniques are often ineffective in demanding anatomies, potentially delaying or complicating interventions.

Purpose of the Study:

• To describe a simple, effective technique for visceral vessel catheterization in complex aortic endovascular procedures.
• To present the "Ceiling technique" as a solution for difficult cannulation scenarios.

Main Methods:

• The technique involves inflating a compliant aortic balloon above the target visceral arteries.
• This maneuver facilitates the safe advancement of an introducer sheath into the desired vessel.
• The approach aims to reduce shear forces and improve device pushability.

Main Results:

• The Ceiling technique allows for easy and safe advancement of the introducer sheath.
• This method effectively overcomes challenges in visceral vessel cannulation.
• The technique is described as useful, easy, and reproducible.

Conclusions:

• The Ceiling technique using a compliant aortic balloon is a valuable endovascular option.
• It provides a reliable solution for challenging visceral vessel catheterization during advanced endovascular procedures.