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Buddy Wires Strategy for Sheath-Uncrossable Interatrial Septum Management During Left Atrial Appendage Closure.
Can J Cardiol
April 2024
Department of Cardiology, Institut Mutualiste Montsouris, Paris, France; Institut Cardiovasculaire Paris Sud, Massy, France. Electronic address:
Successful endovascular salvage of a maldeployed iliac limb extension during complex aortic reconstruction.
Vascular
August 2024
Division of Vascular Surgery, Medical University of South Carolina, Charleston, SC, USA.
Purpose: The worst complication during cannulation of the contralateral gate during complex endovascular aortic repair is deployment of the limb extension behind the main graft body.
Case Report: A patient with a 5.7 cm juxtarenal abdominal aortic aneurysm was taken to the operating room for fenestrated endovascular aortic repair and iliac branch device.
A Modified Buddy-Wire Technique for Crossing of the Interatrial Septum With the Sapien 3 Valve During Transseptal Mitral Valve-in-Valve/Ring Procedures.
CJC Open
October 2022
Department of Cardiology, Queen Elizabeth University Hospital, Edgbaston, Birmingham, United Kingdom.
Background: Crossing of the interatrial septum (IAS) with the Edwards Sapien-3 transcatheter heart valve (THV) may fail, despite preparatory balloon septostomy. A planned buddy guidewire placed in the left ventricle may help facilitate crossing of the IAS and mitral bioprosthesis with the THV.
Methods: A retrospective study of 12 consecutive patients undergoing transseptal, mitral valve-in-valve or valve-in-ring procedures using the Edwards Sapien-3 THV since 2018 with a planned buddy-wire technique.
"Ménage à Trois": Use of 2 Supplemental Buddy Wires During TAVI.
CJC Open
November 2021
Quebec Heart & Lung Institute, Laval University, Quebec City, Quebec, Canada.
We herein present clinical images illustrating a transcatheter aortic valve implantation within an extremely calcified aortic valve, which posed considerable difficulty in crossing the aortic annulus. To gain maximum support, we used 2 buddy wires to allow a balloon predilation and then a successful crossing of the transcatheter heart valve. This technique provides additional support for those performing this procedure and may be included in the armamentarium of transcatheter aortic valve specialists.
View Article and Find Full Text PDFThe Columbus steerable guidewire in neurointerventions: early clinical experience and applications.
J Neurointerv Surg
March 2022
Department of Radiology and Nuclear Medicine, Luzerner Kantonsspital Zentrumsspital, Luzern, Switzerland.
Objective: To report our early experience in using the steerable 'Columbus' guidewire, also known as 'Drivewire' in the USA, and its potential applications in neurovascular interventions.
Methods: Neurointerventions in 36 patients (20 female, 16 male) using the steerable Columbus guidewire were recorded from August 2019 to December 2020 and included a variety of neurovascular procedures: Treatment of aneurysms (n=17), thrombectomy in acute ischemic stroke (n=12), and others (n=7), such as treatment of stenosis and embolization procedures. Immediate follow-up with digital subtraction angiography and tracking of each patient's clinical outcome was performed.
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