Snare Assisted Guiding Catheter Stabilization for Left Internal Carotid Artery Access via Right Distal Radial Approach.

Authors

Yuya Kobayashi, Yoshiki Hanaoka, Chinami Yuzawa, Minori Kurashina, Atsushi Sato, Yoshiki Sekijima

Published in

Vascular and endovascular surgery. Pages 15385744261500863. Oct 18, 2026. Epub Oct 18, 2026.

Abstract

Transradial approach (TRA) is increasingly adopted in neurointervention. However, distal system advancement to the left internal carotid artery (ICA) via a right radial approach can be technically challenging, particularly when a small-caliber system is required. We report a case in which a stable guiding system was established via a right distal radial approach by capturing the guiding catheter with a snare and applying traction. Despite marked ICA tortuosity, distal advancement of the distal access catheter and system push during flow diverter deployment were successfully achieved. This single-case technical experience suggests that snare-assisted guiding catheter stabilization may represent one technical option for addressing support limitations in challenging TRA procedures.

PMID:
42893395
Bibliographic data and abstract were imported from PubMed on 18 Oct 2026.

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