title: Correction of CoreValve position using snare traction from a right brachial artery access.
abstract: Significant paravalvular aortic regurgitation is among the most important limitations of the interventional revalving techniques for the treatment of severe aortic stenosis. We report on the treatment of a patient with severe paravalvular regurgitation following CoreValve implantation by prolonged snare traction from the right brachial artery. Snare traction resulted in upward motion of the valve with subsequent reduction of aortic regurgitation from grades III/IV to grade I.
authors.affiliation: University Aachen, Medical Clinic I, Pauwelsstrasse, Aachen 52074, Germany. wilma.hoffmann@t-online.de
authors.forename: Rainer
authors.initials: R
authors.lastname: Hoffmann
authors.forename: Benjamin
authors.initials: B
authors.lastname: Rieck
authors.forename: Guido
authors.initials: G
authors.lastname: Dohmen
mesh_terms: D000369:Aged, 80 and over; D001022:Aortic Valve Insufficiency / Q000175:diagnosis / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000175:diagnosis / Q000601:surgery*; D001794:Blood Pressure; D001916:Brachial Artery; D006328:Cardiac Catheterization / Q000295:instrumentation* / Q000379:methods; D004452:Echocardiography; D005260:Female; D019918:Heart Valve Prosthesis Implantation / Q000295:instrumentation*; D006801:Humans; D008279:Magnetic Resonance Imaging; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery*; D011474:Prosthesis Design; D011475:Prosthesis Failure; D017755:Prosthesis Fitting; D012086:Reoperation; D014057:Tomography, X-Ray Computed; D014143:Traction / Q000295:instrumentation*