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Related Experiment Video

Updated: Jan 10, 2026

Quantifying Acute Changes in Renal Sympathetic Nerve Activity in Response to Central Nervous System Manipulations in Anesthetized Rats

Quantifying Acute Changes in Renal Sympathetic Nerve Activity in Response to Central Nervous System Manipulations in Anesthetized Rats

Published on: September 11, 2018

A simple and fast technique to cannulate the contralateral gate.

Pekka Aho¹, Patrick Björkman¹, Sani Laukontaus¹

¹Department of Vascular Surgery, Abdominal Center, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.

Journal of Vascular Surgery Cases and Innovative Techniques

|November 24, 2025

Summary

The side-rail technique simplifies contralateral gate cannulation during endovascular aortic repair, saving time and radiation exposure. This method is now routinely used for most aortic repair procedures.

Keywords:

Aneurysm Endovascular aneurysm repair Endovascular technique

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Last Updated: Jan 10, 2026

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Area of Science:

Vascular Surgery
Endovascular Interventions
Medical Device Technology

Background:

Contralateral gate cannulation in endovascular aortic repair (EVAR) can be challenging in complex anatomies.
Traditional methods may require time-consuming crossover techniques and snare use, increasing procedure duration and radiation exposure.

Purpose of the Study:

To describe and evaluate the side-rail technique for contralateral gate cannulation in EVAR.
To assess the time and radiation-sparing benefits of this technique.

Main Methods:

Detailed description of the side-rail technique, including procedural steps.
Video material demonstrating the technique's performance.
Routine application of the technique in EVAR procedures at Helsinki University Hospital since 2016.

Main Results:

The side-rail technique simplifies contralateral gate cannulation.
The technique is time-sparing compared to traditional methods.
The technique is radiation-sparing, reducing patient and staff exposure.

Conclusions:

The side-rail technique is a simple and effective method for contralateral gate cannulation in EVAR.
This technique offers significant time and radiation benefits.
The side-rail technique is suitable for routine use in most EVAR procedures.