Principles of percutaneous paravalvular leak closure

JACC. Cardiovascular Interventions
Charanjit S RihalAllison K Cabalka

Abstract

Paravalvular regurgitation affects 5% to 17% of all surgically implanted prosthetic heart valves. Patients who have paravalvular regurgitation can be asymptomatic or present with hemolysis or heart failure, or both. Reoperation is associated with increased morbidity and is not always successful because of underlying tissue friability, inflammation, or calcification. Comprehensive echocardiographic imaging with transthoracic and real-time 3-dimensional transesophageal echocardiography is key for characterizing the defect location, size, and shape. For paramitral defects, an antegrade transseptal approach can usually be guided by biplane fluoroscopy, and real-time 3-dimensional transesophageal echocardiography can usually be performed successfully. Alternative approaches to paramitral defects include retrograde transaortic cannulation or transapical access and retrograde cannulation. For oblong or crescentic defects, the simultaneous or sequential deployment of 2 smaller devices, as opposed to 1 large device, results in a higher degree of procedural success and safety because the risk of impingement on the prosthetic leaflets is minimized. Most para-aortic defects can be approached in a retrograde manner and closed with a single ...Continue Reading

References

Nov 15, 1992·Journal of the American College of Cardiology·M HourihanJ E Lock
Aug 8, 1996·The New England Journal of Medicine·W VongpatanasinR A Lange
Jan 8, 2000·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·J D MooreL A Latson
Oct 9, 2001·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·A C EisenhauerP S Watson
Apr 6, 2004·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Henry W KortDavid T Balzer
Apr 1, 2005·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·John G WebbBrad I Munt
Nov 21, 2007·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Paul SorajjaCharanjit S Rihal
Apr 30, 2009·Revista española de cardiología·Rafael García-Borbolla FernándezPedro Cabeza Laínez
Jul 24, 2010·JACC. Cardiovascular Interventions·Fabian NietlispachJohn G Webb
Jun 18, 2011·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Mehmet CilingirogluTed Feldman
Jul 28, 2011·Circulation. Cardiovascular Interventions·Paul SorajjaCharanjit S Rihal
Nov 15, 2011·Journal of the American College of Cardiology·Carlos E RuizHoward A Cohen
Nov 15, 2011·Journal of the American College of Cardiology·Paul SorajjaCharanjit S Rihal

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Citations

Nov 3, 2012·European Heart Journal·Chad KligerCarlos E Ruiz
Aug 2, 2013·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Eulogio GarcíaCarlos Macaya
Sep 18, 2013·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Jan-Malte SinningEberhard Grube
Nov 23, 2013·Current Cardiology Reports·Daniel Rodríguez MuñozJosé Luis Zamorano Gómez
Dec 3, 2013·Current Cardiology Reports·Sonia Jain, Joseph F Malouf
Oct 23, 2013·European Heart Journal·Thomas BartelRebecca T Hahn
Jul 16, 2013·Journal of Cardiothoracic and Vascular Anesthesia·Atila IyısoyEmre Yalcınkaya
Nov 13, 2013·Expert Review of Cardiovascular Therapy·Mario CarminatiFrancesco Bedogni
Jul 16, 2014·Expert Review of Cardiovascular Therapy·Mohamed El-MawardyGert Richardt
Aug 26, 2015·Expert Review of Medical Devices·Gopal GhimireOluseun Alli
Mar 4, 2014·Indian Heart Journal·V K TrehanM Goyal
Jul 3, 2013·Indian Heart Journal·Kothandam Sivakumar
Jul 3, 2013·Indian Heart Journal·Navaneetha SasikumarRaghavan Suramanyan
Feb 22, 2016·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Donald J Hagler
Aug 13, 2013·Cardiology Clinics·Robert KumarCarlos E Ruiz
Sep 22, 2012·Journal of Cardiothoracic and Vascular Anesthesia·Mandisa-Maia Jones-HaywoodDeepak K Tempe
Sep 23, 2014·Journal of cardiology·Jonathan Marvin Tobis, Islam Abudayyeh
Mar 5, 2015·Circulation Journal : Official Journal of the Japanese Circulation Society·Hidehiko HaraMasato Nakamura
Apr 5, 2013·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Mariel E TurnerJulie A Vincent
Apr 25, 2013·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Giuseppe TarantiniMassimo Napodano
Sep 17, 2013·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Ted FeldmanSteven Smart
May 25, 2013·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Omer GoktekinZiyad M Hijazi
Nov 12, 2014·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Satpal S ArriD Hildick-Smith
Apr 23, 2013·Congenital Heart Disease·Thomas J Seery, Michael C Slack
Apr 22, 2014·JACC. Cardiovascular Interventions·Paul SorajjaCharanjit S Rihal
Apr 2, 2016·General Thoracic and Cardiovascular Surgery·Takashi MurakamiToshihiko Shibata
Oct 28, 2015·Texas Heart Institute Journal·Abdulla A DamlujiAlan W Heldman
Dec 24, 2014·Journal of Cardiovascular Computed Tomography·John R LesserPaul Sorajja
Mar 19, 2014·Circulation Journal : Official Journal of the Japanese Circulation Society·Nikos Werner, Jan-Malte Sinning
May 7, 2013·Journal of the American College of Cardiology·Jan-Malte SinningNikos Werner
Mar 19, 2013·Journal of the American College of Cardiology·Simon R Dixon, Robert D Safian
Apr 5, 2015·Revista Portuguesa De Cardiologia : Orgão Oficial Da Sociedade Portuguesa De Cardiologia = Portuguese Journal of Cardiology : an Official Journal of the Portuguese Society of Cardiology·Ana Rita GodinhoMaria Júlia Maciel
Nov 5, 2013·The Canadian Journal of Cardiology·Stéphane NobleRéda Ibrahim
Sep 24, 2013·The Canadian Journal of Cardiology·Ignacio Cruz-GonzalezAntonio Arribas-Jimenez
May 5, 2016·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Roberto NerlaFausto Castriota
Oct 31, 2015·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Sathish ChikkabyrappaDoff B McElhinney
Aug 10, 2016·General Thoracic and Cardiovascular Surgery·Takashi MurakamiToshihiko Shibata
Oct 21, 2016·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Aydin YildirimIhsan Bakir

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