ArticleJACC. Case reports2026
Endo-Anchoring Guidewire Technique for Salvaging Diameter-Reducing Wire Slippage During Fenestrated Endovascular Aneurysm Repair.
Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- Salvaging a Slipped Diameter-Reducing Wire in Fenestrated EVAR: Rescue, But Prevention Remains the Real Prize.JACC. Case reports · 2026Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo describe the endo-anchoring guidewire technique for facilitating difficult catheterization and salvaging diameter-reducing wire slippage during fenestrated endovascular aneurysm repair. KEY STEPS: Recognition of diameter-reducing wire slippage by abnormal wire bowing and graft malalignment. Establishment of right brachial access for bailout control. Balloon anchoring through the superior mesenteric artery fenestration to stabilize graft orientation. Balloon-assisted endo-anchoring of the guidewire to overcome unfavorable angulation. Successful catheterization and reconstruction of all visceral branches with bridging stents. POTENTIAL PITFALLS: Overtightening or excessive pressurization of the delivery sheath hemostatic valve during heparinized saline priming may contribute to diameter-reducing wire slippage. Attention also should be paid to device-sheath compatibility, iliac stenosis, and excessive balloon inflation pressure. TAKE-HOME MESSAGES: The endo-anchoring guidewire technique provides a practical bailout option for difficult catheterization and complex intraoperative complications. Careful sheath management, proper wire tension, and vigilant intraoperative observation help prevent similar complications.
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Registered trials
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