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Aortic Perivalvular Leakage: Percutaneous Treatment Options

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Percutaneous Interventions for Structural Heart Disease

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Abstract

Paravalvular leak (PVL) is known to occur in 5–17 % of mechanical valves [1].

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References

  1. Vongpatanasin W, Hillis LD, Lange RA. Prosthetic heart valves. N Engl J Med. 1996;335:407–16.

    Article  CAS  PubMed  Google Scholar 

  2. Hammermeister K, Sethi GK, Henderson WG, Grover FL, Oprian C, Rahimtoola SH. Outcomes 15 years after valve replacement with a mechanical versus a bioprosthetic valve: final report of the Veterans Affairs randomized trial. J Am Coll Cardiol. 2000;36:1152–8.

    Article  CAS  PubMed  Google Scholar 

  3. Ionescu A, Fraser AG, Butchart EG. Prevalence and clinical significance of incidental paraprosthetic valvar regurgitation: a prospective study using transoesophageal echocardiography. Heart. 2003;89:1316–21.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Genoni M, Franzen D, Vogt P, et al. Paravalvular leakage after mitral valve replacement: improved long-term survival with aggressive surgery? Eur J Cardiothorac Surg. 2000;17:14–9.

    Article  CAS  PubMed  Google Scholar 

  5. De Cicco G, Russo C, Moreo A, et al. Mitral valve periprosthetic leakage: anatomical observations in 135 patients from a multicentre study. Eur J Cardiothorac Surg. 2006;30:887–91.

    Article  PubMed  Google Scholar 

  6. Rallidis LS, Moyssakis IE, Ikonomidis I, Nihoyannopoulos P. Natural history of early aortic paraprosthetic regurgitation: a five-year follow-up. Am Heart J. 1999;138:351–7.

    Article  CAS  PubMed  Google Scholar 

  7. Pate GE, Al Zubaidi A, Chandavimol M, Thompson CR, Munt BI, Webb JG. Percutaneous closure of prosthetic paravalvular leaks: case series and review. Catheter Cardiovasc Interv. 2006;68:528–33.

    Article  PubMed  Google Scholar 

  8. Davila-Roman VG, Waggoner AD, Kennard ED, et al. Prevalence and severity of paravalvular regurgitation in the artificial valve endocarditis reduction trial (AVERT) echocardiography study. J Am Coll Cardiol. 2004;44:1467–72.

    Article  PubMed  Google Scholar 

  9. Echevarria JR, Bernal JM, Rabasa JM, Morales D, Revilla Y, Revuelta JM. Reoperation for bioprosthetic valve dysfunction. A decade of clinical experience. Eur J Cardiothorac Surg. 1991;5:523–6. discussion 7.

    Article  CAS  PubMed  Google Scholar 

  10. Casselman FP, La Meir M, Jeanmart H, et al. Endoscopic mitral and tricuspid valve surgery after previous cardiac surgery. Circulation. 2007;116:I270–5.

    Article  PubMed  Google Scholar 

  11. Zoghbi WA. New recommendations for evaluation of prosthetic valves with echocardiography and doppler ultrasound. Methodist Debakey Cardiovasc J. 2010;6:20–6.

    Article  PubMed  Google Scholar 

  12. Ruiz CE, Jelnin V, Kronzon I, et al. Clinical outcomes in patients undergoing percutaneous closure of periprosthetic paravalvular leaks. J Am Coll Cardiol. 2011;58:2210–7.

    Article  PubMed  Google Scholar 

  13. Jelnin V, Co J, Muneer B, Swaminathan B, Toska S, Ruiz CE. Three dimensional CT angiography for patients with congenital heart disease: scanning protocol for pediatric patients. Catheter Cardiovasc Interv. 2006;67:120–6.

    Article  PubMed  Google Scholar 

  14. Jelnin V, Dudiy Y, Einhorn BN, Kronzon I, Cohen HA, Ruiz CE. Clinical experience with percutaneous left ventricular transapical access for interventions in structural heart defects a safe access and secure exit. JACC Cardiovasc Interv. 2011;4:868–74.

    Article  PubMed  Google Scholar 

  15. Krishnaswamy A, Kapadia SR, Tuzcu EM. Percutaneous paravalvular leak closure – imaging, techniques and outcomes. Circ J. 2013;77:19–27.

    Article  PubMed  Google Scholar 

  16. Ruiz CE, Cohen H, Valle-Fernandez RD, Jelnin V, Perk G, Kronzon I. Closure of prosthetic paravalvular leaks: a long way to go. Eur Heart J Suppl. 2010;12:E52–62.

    Article  Google Scholar 

  17. Kliger C, Eiros R, Isasti G, et al. Review of surgical prosthetic paravalvular leaks: diagnosis and catheter-based closure. Eur Heart J. 2013;34:638–49.

    Article  PubMed  Google Scholar 

  18. Eisenhauer AC, Piemonte TC, Watson PS. Closure of prosthetic paravalvular mitral regurgitation with the Gianturco-Grifka vascular occlusion device. Catheter Cardiovasc Interv. 2001;54:234–8.

    Article  CAS  PubMed  Google Scholar 

  19. Zamorano JL, Badano LP, Bruce C, et al. EAE/ASE recommendations for the use of echocardiography in new transcatheter interventions for valvular heart disease. Eur Heart J. 2011;32:2189–214.

    Article  PubMed  Google Scholar 

  20. Merin O, Bitran D, Fink D, Asher E, Silberman S. Mechanical valve obstruction caused by an occlusion device. J Thorac Cardiovasc Surg. 2007;133:806–7.

    Article  PubMed  Google Scholar 

  21. Garcia-Villarreal OA. Amplatzer devices are not geometrically adapted to close paravalvular leaks. Ann Thorac Surg. 2013;95:774.

    Article  PubMed  Google Scholar 

  22. Sorajja P, Cabalka AK, Hagler DJ, Rihal CS. Percutaneous repair of paravalvular prosthetic regurgitation: acute and 30-day outcomes in 115 patients. Circ Cardiovasc Interv. 2011;4:314–21.

    Article  PubMed  Google Scholar 

  23. Sorajja P, Cabalka AK, Hagler DJ, Rihal CS. Long-term follow-up of percutaneous repair of paravalvular prosthetic regurgitation. J Am Coll Cardiol. 2011;58:2218–24.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Swedish Heart and Vascular, Seattle, WA, USA

    Sameer Gafoor, Laura Vaskelyte & Ilona Hofmann

  2. Cardiovascular Center Frankfurt CVC, Frankfurt, Germany

    Sameer Gafoor, Predrag Matic, Fawad Kazemi, Luisa Heuer, Jennifer Franke, Stefan Bertog & Horst Sievert

  3. University of Heidelberg, Heidelberg, Germany

    Jennifer Franke

  4. Minneapolis Veterans Affairs Hospital, Minneapolis, MN, USA

    Stefan Bertog

Authors
  1. Sameer Gafoor
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  2. Predrag Matic
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  3. Fawad Kazemi
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  4. Luisa Heuer
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  5. Jennifer Franke
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  6. Stefan Bertog
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  7. Laura Vaskelyte
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  8. Ilona Hofmann
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  9. Horst Sievert
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Corresponding author

Correspondence to Horst Sievert .

Editor information

Editors and Affiliations

  1. Department of Cardiology, Mirano Hospital, Mirano, Italy

    Bernhard Reimers

  2. Cardiac and Endovascular Interventions, First Coast Cardiovascular Institute, Jacksonville, Florida, USA

    Issam Moussa

  3. Department of Cardiology, Mirano Hospital, Mirano, Italy

    Andrea Pacchioni

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Gafoor, S. et al. (2017). Aortic Perivalvular Leakage: Percutaneous Treatment Options. In: Reimers, B., Moussa, I., Pacchioni, A. (eds) Percutaneous Interventions for Structural Heart Disease. Springer, Cham. https://doi.org/10.1007/978-3-319-43757-6_4

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  • DOI: https://doi.org/10.1007/978-3-319-43757-6_4

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-43755-2

  • Online ISBN: 978-3-319-43757-6

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