Transcatheter closure through transapical access for mitral paravalvular leak after previous trans-septal mitral operation

2016 ◽  
Vol 65 (5) ◽  
pp. 289-292 ◽  
Author(s):  
Takashi Murakami ◽  
Yasuo Suehiro ◽  
Shinsuke Nishimura ◽  
Kenichi Sugioka ◽  
Shinichi Iwata ◽  
...  
Keyword(s):  
Transcatheter Closure ◽  
Paravalvular Leak ◽  
Transapical Access

scholarly journals Correction of extensive mitral paravalvular leak with three occlusion devices via transapical access: a case report

2021 ◽  
Vol 29 ◽  
pp. 1-4
Author(s):  
Luiz São Thiago ◽  
Luis Luciano ◽  
Ana Rabelo ◽  
Willian Conceição ◽  
Leandro Waldrich ◽  
...  
Keyword(s):  
Heart Valves ◽  
Surgical Intervention ◽  
Transcatheter Closure ◽  
Paravalvular Leak ◽  
Prosthetic Heart Valves ◽  
Heart Valve Diseases ◽  
Surgical Risk ◽  
High Surgical Risk ◽  
Valve Diseases ◽  
Transapical Access

Heart valve diseases account for a significant portion of hospitalizations due to cardiovascular diseases in Brazil. Prosthetic heart valves, which are often part of treatment, are susceptible to complications, such as paravalvular leak. Surgical intervention remains the treatment of choice for correcting this defect. However, transesophageal echocardiography-guided catheter correction has emerged as a less invasive alternative for paravalvular leak treatment in patients at high surgical risk. We report a case of extensive mitral paravalvular leak in a patient who had two previous cardiac surgeries and a high surgical risk, who underwent successful transcatheter closure with three prosthesis implantation by transapical access.

Antegrade Transcatheter Closure of a Large Aortic Paravalvular Leak

2018 ◽  
Vol 2 (3) ◽  
pp. 250-251
Author(s):  
Mohamad Alkhouli ◽  
Tatiana Busu ◽  
Mohamad Hijazi ◽  
Fahad Alqahtani ◽  
Charanjit S. Rihal
Keyword(s):  
Transcatheter Closure ◽  
Paravalvular Leak

Prognosis of Transcatheter Closure Compared with Surgical Repair of Paravalvular Leak after Prosthetic Valve Replacement: A Retrospective Comparison

2018 ◽  
Vol 68 (02) ◽  
pp. 148-157
Author(s):  
Chun Yang ◽  
Yang Liu ◽  
Jiayou Tang ◽  
Ping Jin ◽  
Lanlan Li ◽  
...  
Keyword(s):  
Valve Replacement ◽  
Surgical Repair ◽  
Transcatheter Closure ◽  
Percutaneous Closure ◽  
Paravalvular Leak ◽  
Blood Transfusions ◽  
Group I ◽  
Heart Operation ◽  
Procedural Time ◽  
Group Ii

Abstract Objective Paravalvular leak (PVL) after valve replacement remains clinically challenging. Percutaneous closure is an effective therapy for patients with PVLs because reoperation is associated with high rates of morbidity and mortality. The purpose of this study was to retrospectively compare the clinical outcome of transcatheter closure and surgical repair in patients with a PVL. Methods From January 2000 to May 2016, 131 patients with PVL were treated at three major medical centers in China. Perioperative characteristics and outcomes of the procedure were reviewed. Results Sixty-eight (51.9%) patients with PVLs were treated with percutaneous transcatheter closure (group I). The procedure was successful in 67 (98%) with no hospital deaths. Sixty-three (48.1%) patients with PVLs had a reoperation (group II). Five of the surgical patients had a third open-heart operation for residual regurgitation, and one underwent successful percutaneous closure. Six patients died in the hospital postoperatively. All patients in group II but only 11 in group I needed perioperative blood transfusions. The procedural time and hospital stay after the procedure were significantly shorter in group I than in group II. At the 1-year follow-up, cardiac function improved by ≥ 1 New York Heart Association functional class in 55 (82%) patients in group I and in 39 (68%) patients in group II. Conclusions Transcatheter closure was shown to be a safe, effective therapeutic option in patients with PVL. It was associated with a lower hospital mortality rate, shorter procedural time, and fewer blood transfusions than surgical treatment in selected patients.

scholarly journals Transcatheter Closure of a Mitral Valve Paravalvular Leak in an Infant

2017 ◽  
Vol 3 (5) ◽  
pp. 141-146
Author(s):  
Subrata Kar ◽  
Ugonna Nwankwo ◽  
Nabil Noureddin ◽  
Jamil Aboulhosn ◽  
Yakov Mahmzi ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Transcatheter Closure ◽  
Paravalvular Leak

scholarly journals Transbrachial Access for Transcatheter Closure of Paravalvular Leak Following Prosthetic Valve Replacement

2021 ◽  
Vol 8 ◽  
Author(s):  
Hui Zhang ◽  
Jing-Yan Wang ◽  
Jian-Hua Lv ◽  
Hai-Bo Hu ◽  
Rui-Gang Xie ◽  
...  
Keyword(s):  
Brachial Artery ◽  
Transcatheter Closure ◽  
Bed Rest ◽  
Functional Class ◽  
Paravalvular Leak ◽  
Technical Success Rate ◽  
Rest Time ◽  
Risk Patients ◽  
Transseptal Approach ◽  
Study Population

Background: Transcatheter closure of paravalvular leak (PVL) has evolved into an alternative to surgery in high-risk patients. In this study, we introduce a new access for transcatheter closure of PVL and seek to evaluate the feasibility and safety of this access.Methods: We retrospectively analyzed patients undergoing transbrachial access for transcatheter mitral or aortic PVL closure (August 2017–November 2019) at our hospital. All patients underwent puncture of the brachial artery under local anesthesia.Results: The study population included 11 patients, with an average age of 55.91 ± 14.82 years. Ten out of 11 patients were successfully implanted with devices via the brachial artery approach, and one patient was converted to the transseptal approach. The technical success rate of transbrachial access was 90.9%. Mean NYHA functional class improved from 3.1 ± 0.5 before the procedure to 1.9 ± 0.5 after PVL closure. Severe paravalvular regurgitation (PVR) in five patients and moderate PVR in six patients prior to the procedure were significantly reduced to mild in four patients and none in seven patients after the procedure. Complications included one case of pseudoaneurysm and one case of moderate hemolysis aggravation after closure. One patient had an unknown cause of sudden death within 24 h after the procedure. The half-year mortality rate during follow-up was 9.1% (1/11).Conclusions: Transbrachial access for transcatheter closure of PVL may be a feasible and safe treatment and should include well-selected patients. It has several potential advantages of simplifying the procedure process and reducing postprocedural bed rest time.

Diagnosis and Treatment of Left-Sided Prosthetic Paravalvular Regurgitation

Cardiology ◽  
2015 ◽  
Vol 133 (1) ◽  
pp. 27-34 ◽  
Author(s):  
Konstantinos Lampropoulos ◽  
Constantina Aggeli ◽  
Aikaterini Megalou ◽  
John Barbetseas ◽  
Werner Budts
Keyword(s):  
Heart Failure ◽  
Transcatheter Closure ◽  
Signs And Symptoms ◽  
Diagnosis And Treatment ◽  
Paravalvular Leak ◽  
Cardiac Cachexia ◽  
Prosthetic Valves ◽  
Surgical Implantation

Paravalvular leak (PVL) is a complication related to the surgical implantation of left-sided prosthetic valves. The prevalence of paravalvular regurgitation ranges between 5 and 20%. Left-sided prosthetic paravalvular regurgitation presents with a wide constellation of signs and symptoms ranging from asymptomatic murmur to heart failure, hemolysis and cardiac cachexia. Echocardiography plays a key role in imaging the PVL and can help in guiding the closure procedure with both transesophageal and intracardiac probes. Transcatheter closure of paravalvular regurgitations is an appealing prospect.

Biologic Valve Leaflet Perforation causing Persistent Aortic Insufficiency after Successful Transcatheter Closure of Paravalvular Leak

2015 ◽  
Vol 10 (5) ◽  
pp. 349-351
Author(s):  
Imad F. Tabry ◽  
Mammen P. Zakharia ◽  
Gordon D. Onstadt
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Transcatheter Closure ◽  
Aortic Insufficiency ◽  
Paravalvular Leak ◽  
Valve Leaflet

Persistent paravalvular leak after aortic valve replacement prompted transcatheter closure with an Amplatzer VSD device. Although technically a successful procedure, aortic insufficiency persisted, leading to surgical reexploration and valve replacement.

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