Percutaneous paravalvular leak closure

被引：9

作者：

Krishnaswamy A. ^{[1
]}

Tuzcu E.M. ^{[1
]}

Kapadia S.R. ^{[2
]}

机构：

[1] Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, OH

[2] Sones Cardiac Catheterization Laboratory, Cleveland Clinic, Cleveland, OH 44195

来源：

Current Treatment Options in Cardiovascular Medicine | 2013年 / 15卷 / 5期

关键词：

CT: fluoroscopy fusion; DynaCT; Mitral valve anatomy; Paravalvular leak; Paravalvular regurgitation; Percutaneous paravalvular leak closure; Three-dimensional echocardiography; Vascular plug;

D O I：

10.1007/s11936-013-0262-5

中图分类号：

学科分类号：

摘要：

Opinion Statement: Paravalvular leak (PVL) is a known complication of surgical and transcatheter valve replacement procedures. Patients most commonly present with congestive heart failure and/or hemolysis, and repeat surgical procedures to correct the PVL carries increased risk with reduced likelihood of success. As a result, percutaneous approaches to PVL closure have been developed, with a considerable emphasis on multimodality imaging for both diagnosis and procedural guidance in the cardiac catheterization laboratory. Large series' of percutaneous PVL closure have been recently published, with encouraging results with respect to both procedural success and clinical outcomes. In this paper, we provide a comprehensive review of imaging and procedural techniques for percutaneous PVL closure and present the data supporting this novel treatment strategy. © 2013 Springer Science+Business Media New York.

引用

页码：565 / 574

页数：9

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