# A simple and fast technique to cannulate the contralateral gate

## TL;DR

This paper introduces a quick and efficient method for cannulating the contralateral gate during endovascular aortic repair.

## Contribution

The novel side-rail technique is presented as a faster and safer alternative to traditional methods.

## Key findings

- The side-rail technique reduces procedure time and radiation exposure.
- It is now routinely used in most endovascular aortic repair procedures at Helsinki University Hospital.

## Abstract

In challenging anatomy and large aneurysms, cannulation of the contralateral gate may be time-consuming and sometimes requires crossover approach with a snare. At Helsinki University Hospital, we have since 2016 used the so-called side-rail technique. This technique is described in detail in this paper including video material on the performance of the procedure. We have found this simple technique to be time and radiation sparing, and we now use it routinely in most endovascular aortic repair procedures.