Novel Antegrade Approach to Transcatheter Aortic Valve Paravalvular Leak Closure

J Invasive Cardiol. 2019 Oct;31(10):E306-E307.

Abstract

Aortic paravalvular leak (PVL) is a known complication of TAVR. PVL closure using vascular occluder devices can be used, particularly in cases with annular calcification preventing adequate seal; however, delivery of equipment can be challenging in TAVR patients due to interaction with the valve stent. We describe a novel antegrade closure approach to treat transcatheter aortic PVL.

Keywords: PVL closure; aortography; paravalvular leak.

Publication types

  • Case Reports

MeSH terms

  • Aortic Valve / diagnostic imaging
  • Aortic Valve / surgery*
  • Aortic Valve Stenosis / surgery
  • Cardiac Catheterization / methods*
  • Fluoroscopy
  • Heart Valve Prosthesis / adverse effects*
  • Humans
  • Postoperative Complications / diagnosis
  • Postoperative Complications / etiology
  • Postoperative Complications / surgery*
  • Prosthesis Failure
  • Reoperation
  • Transcatheter Aortic Valve Replacement / adverse effects*
  • Vascular Access Devices