The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)


All that glitters is not gold: can videodensitometry replace echocardiography for the assessment of paravalvular aortic regurgitation?

EuroIntervention 2020;15:1219-1222. DOI: 10.4244/EIJV15I14A218

1. Columbia University Medical Center, NY Presbyterian Hospital, New York, NY, USA

The clinical impact of paravalvular regurgitation (PVR) following surgical aortic valve replacement (SAVR) varies depending on the type of valve prosthesis, implant location, and means of delivery. In the aortic position, the incidence of prosthetic PVR is 2%-10%1. A meta-analysis of 12 clinical studies showed that a successful transcatheter closure of PVR (reduction of ≥1 grade) translated into lower cardiac mortality (odds ratio [OR] 0.08, confidence interval [CI]: 0.01-0.9) and greater improvement in New York Heart Association (NYHA) functional class or haemolysis (OR 9.95, CI: 2.1-66.7) with fewer repeat operations (OR 0.08, CI: 0.01-0.4)2. A random effects meta-analysis (including 604 patients from five observational ...

Sign in to read and download the full article

Forgot your password?
No account yet? Sign up for free!
Create my pcr account

Join us for free and access thousands of articles from EuroIntervention, as well as presentations, videos, cases from

Read next article

Going ultra!