Use of radial access to create an arterio-arterial loop to facilitate the percutaneous closure of paravalvular aortic leak. Is it feasible?

To the Editor, Transcatheter paravalvular leak (PVL) closure through the implantation of occlusion devices has become an alternative to surgery.1 The closure of aortic PVLs is usually performed through retrograde approach (via femoral artery and with echocardiographic and fluoroscopic guidance).2 Th...

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Main Authors: Gustavo Jiménez-Brítez, Alejandro Panaro, Giulana Maldonado, Dabit Arzamendi, Julio Carballo
Format: Article
Language:English
Published: Permanyer 2020-08-01
Series:REC: Interventional Cardiology (English Ed.)
Online Access:https://recintervcardiol.org/en/index.php?option=com_content&view=article&id=312
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author Gustavo Jiménez-Brítez
Alejandro Panaro
Giulana Maldonado
Dabit Arzamendi
Julio Carballo
author_facet Gustavo Jiménez-Brítez
Alejandro Panaro
Giulana Maldonado
Dabit Arzamendi
Julio Carballo
author_sort Gustavo Jiménez-Brítez
collection DOAJ
description To the Editor, Transcatheter paravalvular leak (PVL) closure through the implantation of occlusion devices has become an alternative to surgery.1 The closure of aortic PVLs is usually performed through retrograde approach (via femoral artery and with echocardiographic and fluoroscopic guidance).2 There are times that the antegrade approach is necessary (via femoral vein through transseptal puncture, rarely transapical approach). However, certain cases require additional support using an arteriovenous loop. This is often done through the snaring of a wire introduced into the left atrium with a catheter that is advanced through the interatrial septum (transseptal).3-4 We describe a non-reported approach so far: the transcatheter closure of paravalvular leak using an arterio-arterial loop by passing the wire through the bioprosthesis and using radial access to snare the wire.
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spelling doaj.art-16d43bc012cb4acbb79c1de154c0453c2022-12-21T21:47:37ZengPermanyerREC: Interventional Cardiology (English Ed.)2604-73222020-08-012322822910.24875/RECICE.M20000101Use of radial access to create an arterio-arterial loop to facilitate the percutaneous closure of paravalvular aortic leak. Is it feasible?Gustavo Jiménez-Brítez0Alejandro Panaro1Giulana Maldonado2Dabit Arzamendi3Julio Carballo4Instituto del Corazón, Centro Médico Teknon – Quironsalud, Barcelona, EspañaInstituto del Corazón, Centro Médico Teknon – Quironsalud, Barcelona, EspañaInstituto del Corazón, Centro Médico Teknon – Quironsalud, Barcelona, EspañaInstituto del Corazón, Centro Médico Teknon – Quironsalud, Barcelona, EspañaInstituto del Corazón, Centro Médico Teknon – Quironsalud, Barcelona, EspañaTo the Editor, Transcatheter paravalvular leak (PVL) closure through the implantation of occlusion devices has become an alternative to surgery.1 The closure of aortic PVLs is usually performed through retrograde approach (via femoral artery and with echocardiographic and fluoroscopic guidance).2 There are times that the antegrade approach is necessary (via femoral vein through transseptal puncture, rarely transapical approach). However, certain cases require additional support using an arteriovenous loop. This is often done through the snaring of a wire introduced into the left atrium with a catheter that is advanced through the interatrial septum (transseptal).3-4 We describe a non-reported approach so far: the transcatheter closure of paravalvular leak using an arterio-arterial loop by passing the wire through the bioprosthesis and using radial access to snare the wire.https://recintervcardiol.org/en/index.php?option=com_content&view=article&id=312
spellingShingle Gustavo Jiménez-Brítez
Alejandro Panaro
Giulana Maldonado
Dabit Arzamendi
Julio Carballo
Use of radial access to create an arterio-arterial loop to facilitate the percutaneous closure of paravalvular aortic leak. Is it feasible?
REC: Interventional Cardiology (English Ed.)
title Use of radial access to create an arterio-arterial loop to facilitate the percutaneous closure of paravalvular aortic leak. Is it feasible?
title_full Use of radial access to create an arterio-arterial loop to facilitate the percutaneous closure of paravalvular aortic leak. Is it feasible?
title_fullStr Use of radial access to create an arterio-arterial loop to facilitate the percutaneous closure of paravalvular aortic leak. Is it feasible?
title_full_unstemmed Use of radial access to create an arterio-arterial loop to facilitate the percutaneous closure of paravalvular aortic leak. Is it feasible?
title_short Use of radial access to create an arterio-arterial loop to facilitate the percutaneous closure of paravalvular aortic leak. Is it feasible?
title_sort use of radial access to create an arterio arterial loop to facilitate the percutaneous closure of paravalvular aortic leak is it feasible
url https://recintervcardiol.org/en/index.php?option=com_content&view=article&id=312
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