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Updated: Oct 9, 2025

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Published on: August 8, 2025
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.
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.
Abstract:
The presence of a horizontal aorta in patients treated with transcatheter aortic valve replacement increases the difficulty of the procedure. We present 5 cases with aortic stenosis with a horizontal aorta who underwent transcatheter aortic valve replacement using a self-expanding prostheses, with the objective of describing the techniques used and obtaining success with a snare catheter. (Level of Difficulty: Intermediate.).
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