Transcatheter closure of paravalvular leaks: state of the art

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Cruz-Gonzalez, I., Rama-Merchan, J. C., Rodríguez-Collado, J., Martín-Moreiras, J., Diego-Nieto, A., Barreiro-Pérez, M., Sánchez, P. L
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Bohn Stafleu van Loghum 2016
Materias:
Original Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5260617/
https://www.ncbi.nlm.nih.gov/pubmed/27878547
http://dx.doi.org/10.1007/s12471-016-0918-3
_version_ 1782499436499304448
author Cruz-Gonzalez, I.
Rama-Merchan, J. C.
Rodríguez-Collado, J.
Martín-Moreiras, J.
Diego-Nieto, A.
Barreiro-Pérez, M.
Sánchez, P. L
author_facet Cruz-Gonzalez, I.
Rama-Merchan, J. C.
Rodríguez-Collado, J.
Martín-Moreiras, J.
Diego-Nieto, A.
Barreiro-Pérez, M.
Sánchez, P. L
author_sort Cruz-Gonzalez, I.
collection PubMed
description 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.
format Online
Article
Text
id pubmed-5260617
institution National Center for Biotechnology Information
language English
publishDate 2016
publisher Bohn Stafleu van Loghum
record_format MEDLINE/PubMed
spelling pubmed-52606172017-02-06 Transcatheter closure of paravalvular leaks: state of the art Cruz-Gonzalez, I. Rama-Merchan, J. C. Rodríguez-Collado, J. Martín-Moreiras, J. Diego-Nieto, A. Barreiro-Pérez, M. Sánchez, P. L Neth Heart J Original Article 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. Bohn Stafleu van Loghum 2016-11-22 2017-02 /pmc/articles/PMC5260617/ /pubmed/27878547 http://dx.doi.org/10.1007/s12471-016-0918-3 Text en © The Author(s) 2016 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Original Article
Cruz-Gonzalez, I.
Rama-Merchan, J. C.
Rodríguez-Collado, J.
Martín-Moreiras, J.
Diego-Nieto, A.
Barreiro-Pérez, M.
Sánchez, P. L
Transcatheter closure of paravalvular leaks: state of the art
title Transcatheter closure of paravalvular leaks: state of the art
title_full Transcatheter closure of paravalvular leaks: state of the art
title_fullStr Transcatheter closure of paravalvular leaks: state of the art
title_full_unstemmed Transcatheter closure of paravalvular leaks: state of the art
title_short Transcatheter closure of paravalvular leaks: state of the art
title_sort transcatheter closure of paravalvular leaks: state of the art
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5260617/
https://www.ncbi.nlm.nih.gov/pubmed/27878547
http://dx.doi.org/10.1007/s12471-016-0918-3
work_keys_str_mv AT cruzgonzalezi transcatheterclosureofparavalvularleaksstateoftheart
AT ramamerchanjc transcatheterclosureofparavalvularleaksstateoftheart
AT rodriguezcolladoj transcatheterclosureofparavalvularleaksstateoftheart
AT martinmoreirasj transcatheterclosureofparavalvularleaksstateoftheart
AT diegonietoa transcatheterclosureofparavalvularleaksstateoftheart
AT barreiroperezm transcatheterclosureofparavalvularleaksstateoftheart
AT sanchezpl transcatheterclosureofparavalvularleaksstateoftheart

Ejemplares similares