Transcatheter closure of paravalvular leaks: state of the art

被引：0
作者：
I. Cruz-Gonzalez
J. C. Rama-Merchan
J. Rodríguez-Collado
J. Martín-Moreiras
A. Diego-Nieto
M. Barreiro-Pérez
P. L Sánchez
机构：
[1] University Hospital of Salamanca,Cardiology Department
[2] IBSAL,Cardiology Department
[3] Hospital of Merida,undefined
来源：
Netherlands Heart Journal | 2017年 / 25卷
关键词：
Paravalvular leak; Prosthetic heart valve; Heart failure; Haemolytic anaemia; Amplatzer Vascular Plug;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
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.
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页码：116 / 124
页数：8
相关论文
共 97 条
  • [1] Jindani A(1991)Paraprosthetic leak: a complication of cardiac valve replacement J Cardiovasc Surg [Torino] 32 503-508
  • [2] Neville EM(2015)Long-term outcomes of percutaneous paravalvular regurgitation closure after transcatheter aortic valve replacement: a multicenter experience JACC Cardiovasc Interv 8 681-688
  • [3] Venn G(2003)Prevalence and clinical significance of incidental paraprosthetic valvar regurgitation: a prospective study using transoesophageal echocardiography Heart 89 1316-1321
  • [4] Saia F(2000)Paravalvular leakage after mitral valve replacement: improved long-term survival with aggressive surgery? Eur J Cardiothorac Surg 17 14-19
  • [5] Martinez C(2011)Aortic regurgitation after transcatheter aortic valve implantation: incidence and early outcome. Results from the German transcatheter aortic valve interventions registry Heart 97 899-906
  • [6] Gafoor S(2006)Percutaneous closure of prosthetic paravalvular leaks: case series and review Catheter Cardiovasc Interv 68 528-533
  • [7] Ionescu A(1999)Natural history of early aortic paraprosthetic regurgitation: a five-year follow-up Am Heart J 138 351-357
  • [8] Fraser AG(2015)Surgical treatment of paravalvular leak: long-term results in a single-center experience (up to 14 years) J Thorac Cardiovasc Surg 149 1270-1275
  • [9] Butchart EG(2011)Clinical outcomes in patients undergoing percutaneous closure of periprosthetic paravalvular leaks J Am Coll Cardiol 58 2210-2217
  • [10] Genoni M(2011)Long-term follow-up of percutaneous repair of paravalvular prosthetic regurgitation J Am Coll Cardiol 58 2218-2224
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