Crossover Buddy Wire-Assisted Delivery of Steerable Guide Catheter.

ABSTRACT:

Background

Transfemoral venous access is the standard for MitraClip procedures, but anatomic variations can hinder device delivery.

Case summary

An 88-year-old man with severe mitral regurgitation underwent MitraClip therapy via the right femoral vein. During the procedure, compression by a calcified right iliac artery caused severe tortuosity of the iliac vein, preventing the advancement of the steerable guide catheter. A buddy wire was introduced through a left femoral crossover approach using a Radifocus guidewire into the right iliac vein, allowing successful catheter advancement and device deployment.

Discussion

This case highlights the importance of adaptive strategies to overcome anatomic challenges. The buddy wire technique allows for more controlled catheter

SUBMITTER: Kanda D 

PROVIDER: S-EPMC12426518 | biostudies-literature | 2025 Aug

REPOSITORIES: biostudies-literature