Abstract

This technical note describes the parallel guidewire method: the anchoring technique as a strategy to ease difficult catheterization in various endovascular interventions. Sixteen patients were included in 2017 in whom this technique was used. The type of intervention, the nature of the target and anchored vessels and possible complications on the anchored vessel were reported. This study included thirteen various embolization cases and four visceral vessels angioplasties cases. The success of catheterization by using this technique was achieved in all cases, without complication on the anchored vessels.

Highlights

  • Stability of a catheterization is a crucial factor for technical success in endovascular interventions

  • Parallel guidewire stabilization techniques have been described in specific interventions for navigation in tortuous cervicoencephalic vessels [1], in complex anatomy of pulmonary artery [2] and in femoral and peroneal arteries [3]

  • The long sheath was pushed into the proximal ­portion of the splenic artery over the catheter

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Summary

Introduction

Stability of a catheterization is a crucial factor for technical success in endovascular interventions. Parallel guidewire stabilization techniques have been described in specific interventions for navigation in tortuous cervicoencephalic vessels [1], in complex anatomy of pulmonary artery [2] and in femoral and peroneal arteries [3]. The parallel guidewire stabilization technique keeps access during complex or difficult cases and enables stable position of the introducer into a target vessel.

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