Snare assisted technique to navigate complex anatomy in aortic arch diseases
Main Article Content
Abstract
Background: Aortic arch aneurysm or acute aortic syndrome involving the arch are life-threatening conditions with a high mortality rate if not detected and treated promptly. Currently, in addition to open surgery, endovascular intervention has become a viable treatment option for certain cases with good outcomes. However, for complex aortic arch anatomies, such as severe angulation, twisting, or Loại III aortic arch, endovascular procedures can be challenging. To overcome these difficulties, various advanced techniques have been developed and successfully applied, one of which is the snare-assisted technique to facilitate endovascular intervention.
Objectives: This report presents two cases of successful snare-assisted endovascular interventions for aortic arch diseases, highlighting key procedural insights.
Methods: We describe two cases of complex TAA treated using snare techniques—one via the femoral artery and the other via the brachial artery. Patients were monitored through follow-up visits with imaging studies and pre- and post-procedure CT assessments.
Conclusions: The snare technique proves to be an effective assistive method for treating complex TAA.
Article Details
Keywords
Aortic arch disease, snare technique, endovascular intervention
References
2. Lahlouh, M., et al. Aortic Arch Anatomy Characterization from MRA: A CNN-Based Segmentation Approach. in 2022 IEEE 19th International Symposium on Biomedical Imaging (ISBI). 2022.
3. Czerny, M., et al., EACTS/STS Guidelines for Diagnosing and Treating Acute and Chronic Syndromes of the Aortic Organ. Ann Thorac Surg, 2024. 118(1): p. 5-115.
4. Çamci, S., et al., Thoracic endograft placement using a transfemoral snare in a patient with angled aortic arch. Vascular, 2022. 30(4): p. 616-619.
5. Nagayama, H., et al., Successful application of the snare technique for the deployment of the proximal portion of a Zenith Alpha Thoracic Endovascular Graft: a case report. CVIR Endovasc, 2020. 3(1): p. 73.
6. Lee, S.Y., et al., Transfemoral Snare-Assisted Advancement of Stent Graft Across Acutely Angulated Aortic Arch. Cardiovasc Intervent Radiol, 2017. 40(10): p. 1645-1648.
Similar Articles
- Minh Bao Luan Tran, Hong Quan Dao, Hoai Nam Nguyen, Duy Tan Nguyen, The results of endovascular intervention in treatment of stenosis/occlusion femoral-popliteal artery TASC C, D in elderly , The Vietnam Journal of Cardiovascular and Thoracic Surgery: Vol. 50
- Loi Hoang Minh, Van Hoang, Cuong Pham Hung, Outcomes of retrograde intervention for chronic lower extremity arterial disease at Hanoi Heart Hospital , The Vietnam Journal of Cardiovascular and Thoracic Surgery: Vol. 44
- Do Kim Que, Nguyen Anh Trung, Mid term results of revascularization for lower limb arterial occlusion , The Vietnam Journal of Cardiovascular and Thoracic Surgery: Vol. 15
- Dang Ha Phuoc, Pham Minh Anh, Vo Tuan Anh, Early results of endovascular treatment of peripheral artery diseases at Dong Nai General Hospital , The Vietnam Journal of Cardiovascular and Thoracic Surgery: Vol. 36
- Ly Duc Ngoc, Pham Manh Hung, Phan Thao Nguyen, PhD Nguyen Tran Thuy, Nguyen The Huy, Interventions results treatment of chronic total occlusion of the femoral artery at Cardiovascular Center – E hospital , The Vietnam Journal of Cardiovascular and Thoracic Surgery: Vol. 40
- Tran Duc Hung, Pham Vu Thu Ha, Nguyen Thanh Hai, Vu Minh Phuc, Clinical characteristics and results of endovenous laser treatment for varicose veins , The Vietnam Journal of Cardiovascular and Thoracic Surgery: Vol. 21
You may also start an advanced similarity search for this article.