Snare catheter technique in complex transcatheter aortic valve implantation procedures - 11/03/26
, Nicolas Combaret a, Andrea Innorta c, Nicolas d’Ostrevy c, Christophe Saint Etienne d, Geraud Souteyrand aGraphical abstract |
Highlights |
• | The snare catheter technique can be used in complex TAVI procedures. |
• | This technique can use the same access site as that used for the SE-THV. |
• | The snare catheter technique requires perfect coordination between operators. |
Abstract |
Background |
Transcatheter aortic valve implantation is challenged by the anatomy and calcification of the arteries, aortic arch and aortic valve.
Aim |
To describe successful complex transcatheter aortic valve implantation with the use of a snare catheter, where other standard techniques have failed.
Methods |
From the database of 660 transcatheter aortic valve implantation procedures performed at the Clermont-Ferrand University Hospital between 01 February 2023 and 31 August 2024, we report the use of a snare catheter in five complex procedures with transcatheter heart valve advancement failure: two cases of failure to cross the aortic arch with a self-expandable transcatheter heart valve using standard techniques; one case of a horizontal aorta with failed advancement of a self-expandable transcatheter heart valve; a challenging case with significant calcification in the right coronary cusp impeding balloon-expandable transcatheter heart valve progression and crossing the native aortic valve; and another challenging case where the frame of an aortic bioprosthesis prevented the advancement of a self-expandable transcatheter heart valve.
Results |
During all these procedures, the use of a snare catheter enabled the challenges of advancement to be overcome, whether within the aortic arch or a horizontal aorta, or when there were difficulties in crossing a native aortic valve or a bioprosthetic aortic valve, thereby allowing the successful implantation of the transcatheter heart valve.
Conclusions |
The snare catheter strategy is an effective option for performing complex transcatheter aortic valve implantation procedures, specifically when crossing the aortic arch, a horizontal aorta, the aortic valve or an aortic bioprosthesis, and it is possible to use this technique while using the same access site for self-expandable transcatheter heart valve implantation.
Le texte complet de cet article est disponible en PDF.Keywords : Snare catheter technique, Transcatheter aortic valve implantation, TAVI
Plan
Vol 119 - N° 3
P. 210-215 - mars 2026 Retour au numéro
Article précédent
- Clinical impact of congestion in patients admitted for cardiogenic shock
- Miloud Cherbi, François Roubille, Eric Bonnefoy, Paul Gautier, Etienne Puymirat, Guillaume Baudry, Bruno Levy, Pascal Lim, Laurent Bonello, Hamid Merdji, Meyer Elbaz, Clément Delmas
- Nut consumption and risk of cardiovascular disease events and all-cause mortality: A systematic review and dose–response meta-analysis of prospective cohort studies
- Mengna Liu, Mengmeng Wang, Xueru Fu, Xinxin He, Mengdi Wang, Yijia Su, Ge Liu, Fulan Hu, Ming Zhang, Yang Zhao, Dongsheng Hu
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?