Vol. 7, No. 1; 2023; p 45 DOI: https://doi.org/10.26676/jevtm.291

Using Double Wires as a Stability Solution

Tal Hörer1, 2 and David T McGreevy1

1Department of Cardiothoracic and Vascular Surgery, Örebro University Hospital, Faculty of Medicine and Health, Örebro, Sweden

2Department of Surgery, Örebro University Hospital, Faculty of Medicine and Health, Örebro, Sweden

At times, when the endovascular delivery or catheter system is unstable, two wires can be used, forming a ­double wire system.

Keywords: Endovascular; Vascular Access; Catheter

Received: 17 May 2023; Accepted: 28 May 2023

Corresponding author:

Tal M Hörer, MD, PhD, Department of Cardiothoracic and Vascular Surgery and Department of Surgery, Faculty of Medicine and Health, Örebro University Hospital and Örebro University, Södra Grev Rosengatan, 701 85 Örebro, Sweden.

Email: tal.horer@regionorebrolan.se

© 2023 CC BY NC 4.0 – in cooperation with Depts. of Cardiothoracic/Vascular Surgery, General Surgery and Anesthesia, Örebro University Hospital and Örebro University, Sweden

Placing a second 0.018 Fr wire, instead of changing to a single 0.035 Fr wire for stability, can help when faced with extreme angulations. This technique is displayed below (Figure 1) where stent graft alignment was needed after graft separation in a complex aortic case. This is a simple method, and the limitation is usually the catheter size and the types of wires and catheters that are available. Double wires can be used in both acute and ­elective cases, and the use of steerable sheaths is very helpful in these situations.

Figure 1 Introducing a sheath with two 0.018 Fr wires.

Ethics Statement

(1) All the authors mentioned in the manuscript have agreed to authorship, read and approved the manuscript, and given consent for submission and subsequent publication of the manuscript.

(2) The authors declare that they have read and abided by the JEVTM statement of ethical standards including rules of informed consent and ethical committee approval as stated in the article.

Conflicts of Interest

The authors declare that they have no conflicts of interest.

Funding

The authors received no financial support for the research, authorship, and/or publication of this article.