Snare Assisted Percutaneous Valve Therapies- Transcatheter Heart Valve (THV) - Extension of Old Device Closure Methodologies (A Trick to Facilitate Easy Delivery of Transcatheter Heart Valve (THV)) - Two Cases

We present a case of 82 years old male patient who underwent MVR in 2009 and now come with class IV dyspnoea and prosthetic valve degeneration and 72 years old female who had severe calcific aortic stenosis both of them underwent Transcatheter heart valve (THV) implantation. In both cases to implant transcatheter heart valve snare assistance was pivotal. Using snare for valve placement was unique in these cases. This report contributes to the growing body of literature on snare assistance in percutaneous procedures and provides valuable insights for interventionists in managing similar cases.an accomplished and imaginative interventional cardiologist, Bethsaida Hospital has successfully integrated PBD into cardiac care, achieving remarkable clinical outcomes, including the reversal of hypertension, control of diabetes, reduction of LDL cholesterol, and a significant reduction in restenosis rates. With artificial intelligence (AI) and robotics poised to validate the superiority of PBDs objectively, current skeptics risk being perceived as intellectually inflexible and adherent to outdated paradigms. Medicine must redefine excellence, prioritizing visionary thinking that is aligned with evidence-based health strategies, rather than merely relying on technical dexterity