Abstract:This report describes the first use of a new paravalvular leak (PVL) device designed specifically to close paravalvular mitral and paravalvular aortic leaks. The first patient had severe paravalvular mitral leak that was closed using the transapical route with a rectangular designed PVL device that has an oval waist for self-centering and the second patient had moderate paravalvular aortic leak that was closed with a square designed device that has a round waist for self-centering. Both patients had complete c… Show more
“…Recently, Goktekin et al introduced a new device which is specifically designed for PVL closure. This device was used in two patients with 100% procedural and clinical success . The authors indicated the need for further trials before the widespread dissemination and use of this device.…”
“…Recently, Goktekin et al introduced a new device which is specifically designed for PVL closure. This device was used in two patients with 100% procedural and clinical success . The authors indicated the need for further trials before the widespread dissemination and use of this device.…”
“…A trans-apical approach is also feasible, with the benefit of allowing direct entry of the mitral PVL regardless of its location; this can be performed percutaneously or open [2]. Disadvantages to a percutaneous apical approach are that it is more invasive and requires additional pre-procedure planning and imaging (i.e., ultrasound, echocardiography, and/ or computed tomography) and that there is limited availability of dedicated apical closure devices domestically or internationally [5][6][7]. The open approach has additional limitations, such as an increased risk of apical tear, bleeding, myocardial damage, arrhythmia, coronary damage, and infection.…”
Mitral valve replacement, which is a relatively rare procedure in young children, can be complicated by paravalvular leaks (PVLs). Here, we report the first successful percutaneous treatment of a PVL in an infant.
“…The Amplatzer Vascular Plug (AVP) II is widely used in the USA while in Europe the most frequently used device is the AVP III. At this time, the only device specifically approved to TPVL closure by the European Commission is the Occlutech PLD [25]. Fig.…”
Section: Transcatheter Techniques For Tpvl Closurementioning
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.
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