Paravalvular Leakages after Surgical Aortic-Valve Replacement and after Transcatheter Aortic-Valve Implantation: Strategies to Increase the Success Rate of Percutaneous Closure.
aortic-valve replacement
paravalvular leak
paravalvular-leak regurgitation
surgical aortic-valve replacement
transcatheter
transcatheter closure
Journal
Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588
Informations de publication
Date de publication:
25 May 2022
25 May 2022
Historique:
received:
28
04
2022
revised:
15
05
2022
accepted:
23
05
2022
entrez:
10
6
2022
pubmed:
11
6
2022
medline:
11
6
2022
Statut:
epublish
Résumé
Moderate to severe paravalvular-leak (PVL) regurgitation after surgical aortic-valve replacement or after transcatheter valve implantation represents a well-known complication associated with symptoms related to heart failure, hemolysis, or both in patients with multiple comorbidities and with poor prognostic outcomes. The transcatheter closure of aortic paravalvular leaks (APVLs) is currently considered a valid alternative to cardiac surgery. Nevertheless, careful patient selection, optimal cardiac imaging for intraprocedural guidance, and expert operators are key for success. Although technically demanding, particularly in APVLs after transcatheter valve implantation, catheter-based closure is an effective, less invasive, and often the only option for high-risk patients with symptomatic PVL regurgitation.
Identifiants
pubmed: 35683375
pii: jcm11112989
doi: 10.3390/jcm11112989
pmc: PMC9181351
pii:
doi:
Types de publication
Journal Article
Langues
eng
Références
Can J Cardiol. 2019 Jul;35(7):941.e1-941.e2
pubmed: 31292099
Am J Cardiol. 2021 Jul 1;150:101-109
pubmed: 34020771
Postepy Kardiol Interwencyjnej. 2016;12(2):128-34
pubmed: 27279872
EuroIntervention. 2020 Feb 20;15(14):1251-1259
pubmed: 31422926
J Thorac Cardiovasc Surg. 2019 Apr;157(4):1406-1415.e3
pubmed: 30482527
EuroIntervention. 2017 Mar 20;12(16):1962-1968
pubmed: 27973334
J Thorac Dis. 2017 Feb;9(2):E103-E108
pubmed: 28275491
Catheter Cardiovasc Interv. 2016 Oct;88(4):618-624
pubmed: 26909784
Can J Cardiol. 2016 Dec;32(12):1575.e17-1575.e19
pubmed: 27378589
J Invasive Cardiol. 2016 Aug;28(8):E69-70
pubmed: 27466277
J Clin Med. 2022 Apr 01;11(7):
pubmed: 35407584
Lancet. 2015 Jun 20;385(9986):2465-76
pubmed: 25791214
Circulation. 2020 Jan 28;141(4):243-259
pubmed: 31736356
J Geriatr Cardiol. 2019 Sep;16(9):724-732
pubmed: 31645860
JAMA Cardiol. 2017 Nov 1;2(11):1208-1216
pubmed: 28973091
Catheter Cardiovasc Interv. 2016 Feb 15;87(3):478-87
pubmed: 25963541
Open Heart. 2020 May;7(1):
pubmed: 32393655
EuroIntervention. 2016 Dec 10;12(11):e1420-e1427
pubmed: 26690317
N Engl J Med. 2012 May 3;366(18):1686-95
pubmed: 22443479
J Am Soc Echocardiogr. 2019 Apr;32(4):431-475
pubmed: 30797660
Curr Cardiol Rep. 2013 Mar;15(3):342
pubmed: 23338724
Rev Esp Cardiol (Engl Ed). 2018 Aug;71(8):679-681
pubmed: 28566244
J Am Coll Cardiol. 2013 Apr 16;61(15):1585-95
pubmed: 23500308