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Titel
Percutaneous Closure of Paravalvular Leaks: A Systematic Review
Autor(es)
Schlagwort
Paravalvular leak (PVL)
Transcatheter aortic valves implantation (TAVI)
Surgery
Fecha de publicación
2016
Verlag
Wiley Periodicals, Inc.
Citación
Cruz-Gonzalez I, Rama-Merchan JC, Calvert PA, Rodríguez-Collado J, Barreiro-Pérez M, Martín-Moreiras J, et al. (2016). Percutaneous closure of paravalvular leaks: a systematic review. Journal of Interventional Cardiology. 2016; 29 (4): 382-92. https://doi.org/10.1111/joic.12295
Resumen
[EN] 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. (J Interven Cardiol
2016;29:382–392)
URI
ISSN
0896-4327
DOI
10.1111/joic.12295
Versión del editor
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