Transcatheter closure of paravalvular leaks: state of the art.

Autor: Cruz-Gonzalez I; Cardiology Department, University Hospital of Salamanca, IBSAL, Salamanca, Spain., Rama-Merchan JC; Cardiology Department, University Hospital of Salamanca, IBSAL, Salamanca, Spain. ramamerchan@hotmail.com.; Cardiology Department, Hospital of Merida, Badajoz, Spain. ramamerchan@hotmail.com., Rodríguez-Collado J; Cardiology Department, University Hospital of Salamanca, IBSAL, Salamanca, Spain., Martín-Moreiras J; Cardiology Department, University Hospital of Salamanca, IBSAL, Salamanca, Spain., Diego-Nieto A; Cardiology Department, University Hospital of Salamanca, IBSAL, Salamanca, Spain., Barreiro-Pérez M; Cardiology Department, University Hospital of Salamanca, IBSAL, Salamanca, Spain., Sánchez PL; Cardiology Department, University Hospital of Salamanca, IBSAL, Salamanca, Spain.
Jazyk: angličtina
Zdroj: Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation [Neth Heart J] 2017 Feb; Vol. 25 (2), pp. 116-124.
DOI: 10.1007/s12471-016-0918-3
Abstrakt: Paravalvular leak (PVL) is a serious complication after surgical valve replacement or after transcatheter aortic valve replacement. Approximately 1-5% of PVLs can lead to serious clinical consequences, including congestive heart failure and/or haemolytic anaemia. For years, surgical re-intervention has been considered the treatment of choice for symptomatic patients with PVLs. However, surgical re-intervention is associated with a high risk of morbidity and mortality. Transcatheter PVL (TPVL) closure is a less invasive alternative to surgical re-intervention. The safety and feasibility of TPVL closure has been confirmed in several registries and a meta-analysis.In this review, we discuss the clinical implications and diagnosis of PVLs, technical considerations for TPVL, execution of the procedure and assessment of the results.
Competing Interests: Dr. Cruz-Gonzalez is proctor for St Jude Medical.
Databáze: MEDLINE
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