Transcatheter closure of paravalvular leaks: state of the art
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- 作者：I. Cruz-Gonzalez ; J. C. Rama-Merchan ; J. Rodríguez-Collado…
- 关键词：Paravalvular leak ; Prosthetic heart valve ; Heart failure ; Haemolytic anaemia ; Amplatzer Vascular Plug
- 刊名：Netherlands Heart Journal
- 出版年：2017
- 出版时间：February 2017
- 年：2017
- 卷：25
- 期：2
- 页码：116-124
- 全文大小：1616KB
- 刊物主题：Cardiology; Medical Education;
- 出版者：Bohn Stafleu van Loghum
- ISSN：1876-6250
- 卷排序：25
文摘
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.