Related Experiment Video
Updated: Jun 14, 2026

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation
Published on: August 8, 2025
Correction of CoreValve position using snare traction from a right brachial artery access
Rainer Hoffmann1, Benjamin Rieck, Guido Dohmen
1University Aachen, Medical Clinic I, Pauwelsstrasse, Aachen 52074, Germany. wilma.hoffmann@t-online.de
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.
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Prepare for the Procedure:
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The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
Assessment of blood pressure in brachial artery(two-step method)
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