Description of the Step-by-Step Technique With Snare Catheter for TAVR in Horizontal Aorta

Manuel A Espinoza Rueda1, Roberto Muratalla González1, Juan F García García1

  • 1Department of Interventional Cardiology, National Medical Center "November 20," Institute of Social Security and Services for State Workers, Mexico City, Mexico.

JACC. Case Reports
|December 17, 2021
PubMed

Insights

Transcatheter aortic valve replacement in patients with a horizontal aorta is challenging. A snare catheter technique successfully facilitated valve replacement in five cases of aortic stenosis with horizontal aortas.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Medical Devices

Background:

  • Transcatheter aortic valve replacement (TAVR) is a common procedure for aortic stenosis.
  • A horizontal aorta anatomical variation presents unique challenges during TAVR procedures.
  • Navigating complex aortic anatomies requires specialized techniques for successful TAVR outcomes.

Observation:

  • The study focuses on five patients diagnosed with aortic stenosis and a horizontal aorta.
  • These patients underwent TAVR utilizing self-expanding prostheses.
  • The procedure's difficulty was noted as intermediate.

Findings:

  • The presented cases demonstrate the successful application of a specific technique involving a snare catheter.
  • This technique aided in overcoming the procedural challenges posed by a horizontal aorta during TAVR.
  • The use of self-expanding prostheses was consistent across all cases.

Implications:

  • This approach offers a potential solution for TAVR in patients with horizontal aortas.
  • The snare catheter technique may improve procedural success rates and patient outcomes.
  • Further research could validate this technique in larger patient cohorts with similar anatomical variations.

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