title: Percutaneous closure of an aortic paravalvular leak via the transradial approach.
abstract: Percutaneous closure of aortic and mitral paraprosthetic leaks using the Amplatzer occluders (muscular ventricular septal defect occluder) is now a well recognized procedure although as "off label" use. Aortic paravalvular leak closure is usually carried out via transfemoral puncture, but problems with this approach include the need to stop warfarin and the inadequate length of standard delivery sheaths. We report the first case of percutaneous aortic paravalvular leak closure through the radial artery route.
authors.affiliation: Sussex Cardiac Centre, Brighton and Sussex University Hospital NHS Trust, Brighton BN2 5BE, UK. David.Hildick-Smith@BSUH.nhs.uk
authors.forename: D
authors.initials: D
authors.lastname: Hildick-Smith
authors.forename: M W H
authors.initials: MW
authors.lastname: Behan
authors.forename: J
authors.initials: J
authors.lastname: De Giovanni
mesh_terms: D001022:Aortic Valve Insufficiency / Q000209:etiology / Q000628:therapy*; D001024:Aortic Valve Stenosis / Q000601:surgery; D002404:Catheterization / Q000295:instrumentation; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D008875:Middle Aged; D017534:Radial Artery / Q000601:surgery*; D012086:Reoperation; D016896:Treatment Outcome