Percutaneous Closure of Paravalvular Leaks: A Systematic Review.
| Autor: | Cruz-Gonzalez I; University Hospital of Salamanca, IBSAL, Salamanca, Spain., Rama-Merchan JC; University Hospital of Salamanca, IBSAL, Salamanca, Spain., Calvert PA; Queen Elizabeth Hospital, University Hospitals Birmingham and Institute of Translational Medicine, University of Birmingham, United Kingdom., Rodríguez-Collado J; University Hospital of Salamanca, IBSAL, Salamanca, Spain., Barreiro-Pérez M; University Hospital of Salamanca, IBSAL, Salamanca, Spain., Martín-Moreiras J; University Hospital of Salamanca, IBSAL, Salamanca, Spain., Diego-Nieto A; University Hospital of Salamanca, IBSAL, Salamanca, Spain., Hildick-Smith D; Sussex Cardiac Centre, Brighton and Sussex University Hospitals, United Kingdom., Sánchez PL; University Hospital of Salamanca, IBSAL, Salamanca, Spain. |
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| Jazyk: | angličtina |
| Zdroj: | Journal of interventional cardiology [J Interv Cardiol] 2016 Aug; Vol. 29 (4), pp. 382-92. Date of Electronic Publication: 2016 May 31. |
| DOI: | 10.1111/joic.12295 |
| Abstrakt: | Paravalvular leak (PVL) is an uncommon yet serious complication associated with the implantation of mechanical or bioprosthetic surgical valves and more recently recognized with transcatheter aortic valves implantation (TAVI). A significant number of patients will present with symptoms of congestive heart failure or haemolytic anaemia due to PVL and need further surgical or percutaneous treatment. Until recently, surgery has been the only available therapy for the treatment of clinically significant PVLs despite the significant morbidity and mortality associated with re-operation. Percutaneous treatment of PVLs has emerged as a safe and less invasive alternative, with low complication rates and high technical and clinical success rates. However, it is a complex procedure, which needs to be performed by an experienced team of interventional cardiologists and echocardiographers. This review discusses the current understanding of PVLs, including the utility of imaging techniques in PVL diagnosis and treatment, and the principles, outcomes and complications of transcatheter therapy of PVLs. (© 2016, Wiley Periodicals, Inc.) |
| Databáze: | MEDLINE |
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