title: Minimally Invasive Transradial Percutaneous Closure of Aortic Paravalvular Leaks: Following the Steps of Percutaneous Coronary Intervention.
abstract: Two patients with severe aortic paravalvular leaks (PVLs) in a mechanical prosthesis were percutaneously treated. Procedures were performed with mild sedation, angiographic guidance, and a 6-French right radial artery approach with good final results. Percutaneous PVL treatment is routinely performed with general anaesthesia, transesophageal echocardiographic guidance, and femoral access. Although another case of radial aortic PVL closure has been previously reported, it was performed with an 8-French radial sheath, transesophageal echocardiographic guidance, and general anaesthesia. According to our initial experience, aortic PVLs could be treated in a minimally invasive way. Larger studies should be conducted to confirm these observations.
authors.affiliation: Cardiology Department, Thorax Institute, Hospital Clínic, August Pi and Sunyer Biomedical Research Institute, University of Barcelona, Barcelona, Spain.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Giacchi
authors.affiliation: Cardiology Department, Thorax Institute, Hospital Clínic, August Pi and Sunyer Biomedical Research Institute, University of Barcelona, Barcelona, Spain. Electronic address: freixa@clinic.ub.es.
authors.forename: Xavier
authors.initials: X
authors.lastname: Freixa
authors.affiliation: Cardiology Department, Thorax Institute, Hospital Clínic, August Pi and Sunyer Biomedical Research Institute, University of Barcelona, Barcelona, Spain.
authors.forename: Marco
authors.initials: M
authors.lastname: Hernández-Enríquez
authors.affiliation: Cardiology Department, Thorax Institute, Hospital Clínic, August Pi and Sunyer Biomedical Research Institute, University of Barcelona, Barcelona, Spain.
authors.forename: Laura
authors.initials: L
authors.lastname: Sanchis
authors.affiliation: Cardiology Department, Thorax Institute, Hospital Clínic, August Pi and Sunyer Biomedical Research Institute, University of Barcelona, Barcelona, Spain.
authors.forename: Manel
authors.initials: M
authors.lastname: Azqueta
authors.affiliation: Cardiology Department, Thorax Institute, Hospital Clínic, August Pi and Sunyer Biomedical Research Institute, University of Barcelona, Barcelona, Spain.
authors.forename: Salvatore
authors.initials: S
authors.lastname: Brugaletta
authors.affiliation: Cardiology Department, Thorax Institute, Hospital Clínic, August Pi and Sunyer Biomedical Research Institute, University of Barcelona, Barcelona, Spain.
authors.forename: Victoria
authors.initials: V
authors.lastname: Martin-Yuste
authors.affiliation: Cardiology Department, Thorax Institute, Hospital Clínic, August Pi and Sunyer Biomedical Research Institute, University of Barcelona, Barcelona, Spain.
authors.forename: Mónica
authors.initials: M
authors.lastname: Masotti
authors.affiliation: Cardiology Department, Thorax Institute, Hospital Clínic, August Pi and Sunyer Biomedical Research Institute, University of Barcelona, Barcelona, Spain.
authors.forename: Manel
authors.initials: M
authors.lastname: Sabaté
mesh_terms: D000369:Aged, 80 and over; D001021:Aortic Valve / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery; D000082882:Bicuspid Aortic Valve Disease; D017548:Echocardiography, Transesophageal / Q000379:methods; D006349:Heart Valve Diseases / Q000601:surgery; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects* / Q000379:methods; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D011475:Prosthesis Failure; D017534:Radial Artery / Q000601:surgery; D012086:Reoperation / Q000379:methods; D016896:Treatment Outcome