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- W2256223237 abstract "Repeat surgery has usually been considered the first choice to solve paravalvular leaks of prosthetic valves, but it carries a high operative risk, a high mortality rate and an increased risk for re-leaks. Percutaneous closure of such defects is possible, and different approaches and devices are used for this purpose. For mitral paravalvular leaks, constructing an arterio-venous wire loop for delivering the closure device through an antegrade approach is the most commonly used technique. Transcatheter closure can also be performed through a transapical approach or retrograde transfemoral arterial approach. We present a case of 68-year-old man with a mitral paravalvular leak that was successfully closed using an Amplatzer(®) Duct Occluder II, via retrograde transfemoral arterial approach under three-dimensional transesophageal echocardiographic guidance, without the use of a wire loop. The initial attempt to cross the paravalvular defect was unsuccessful, but the obstacle was finally overcome by introducing complex interventional techniques." @default.
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- W2256223237 date "2015-11-01" @default.
- W2256223237 modified "2023-10-16" @default.
- W2256223237 title "Percutaneous transcatheter closure of mitral paravalvular leak via transarterial retrograde approach." @default.
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- W2256223237 doi "https://doi.org/10.11909/j.issn.1671-5411.2015.06.008" @default.
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