Snare Guiding Technique in Bifurcated Endovascular Repair of Abdominal Aortic Aneurysm with Severely Tortuous Iliac Artery Access: A Case Report

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Published: Nov 30, 2022
DOI: https://doi.org/10.47836/mjmhs18.6.45
Keywords:
Abdominal aortic aneurysm, Snare guiding technique, Endovascular repair, Tortuous iliac artery access

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Dedy Chandra Hariyono
Prima Kharisma Hayuningrat
Arif Prasetyo Utomo
Kristanto Yuli Yarsa
Darmawan Ismail

Abstract

Endovascular aneurysm repair (EVAR) has gained acceptance as a viable alternative to open surgical treatment for abdominal aortic aneurysm (AAA). We report the use of snare guiding wire in bifurcated EVAR case with severely tortuous femoral access. A 63-year-old man referred to the hospital from another facility with complaints of pulsating mass in right iliac and umbilical region for the last 2 years. He was then admitted to the cardiac catheterization lab for EVAR under general anaesthetic. Endovascular aneurysm repair (EVAR), also known as an endoprosthesis, is a stent-graft device-guided therapy for a AAA. This procedure is a safer choice for individuals who are elderly or have pulmonary, cardiac, or renal problems. Tortuous iliac arteries might obstruct device delivery during EVAR. The Snare Guiding Wire approach might be an alternate method for EVAR to treat AAA if conventional cannulation is difficult or impossible in individuals with highly tortuous iliac access.

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How to Cite
Hariyono, D. C., Hayuningrat, P. K., Utomo, A. P., Yarsa, K. Y., & Ismail, D. (2022). Snare Guiding Technique in Bifurcated Endovascular Repair of Abdominal Aortic Aneurysm with Severely Tortuous Iliac Artery Access: A Case Report. Malaysian Journal of Medicine and Health Sciences, 18(6), 347–349. https://doi.org/10.47836/mjmhs18.6.45
Issue
Vol. 18 No. 6 (2022)
Section
Case Report
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