%0 Journal Article %J Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej %@ 1734-9338 %V 17 %N 2 %D 2021 %F Maria Onorato2021 %T Balloon leakage dilation over arterio-aorta rail support greatly facilitates a complex aortic paravalvular leak closure %X In patients with an aortic paravalvular leak (PVL), the retrograde femoral arterial approach is most commonly used [1, 2]. Nevertheless, in some cases an antegrade (via trans-septal puncture) or a retrograde transapical approach may be alternative options [3]. Particularly for the anatomically hard-to-approach calcified serpiginous tracts where an extra support is needed, an arterio-arterial loop can be established and may be key for a successful procedure [4]. %A Maria Onorato, Eustaquio %A Carasi, Massimo %A Zadro, Mirko %A Cucchini, Umberto %A Chirillo, Fabio %P 223-225 %9 journal article %R 10.5114/aic.2021.107505 %U http://dx.doi.org/10.5114/aic.2021.107505