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


Mitral valve-in-ring: the good, the bad, and the ugly

EuroIntervention 2016;11:1192-1194. DOI: 10.4244/EIJV11I10A221

Department of Cardiothoracic Surgery, Guy’s and St. Thomas’ Hospital, London, United Kingdom

The success of transcatheter aortic valve implantation (TAVI) has had a huge impact on the management of patients with aortic stenosis1. At the heart of it is a basic idea of implanting a heart valve which does not need sutures and is held securely by tissue because of relative oversizing. Some of the issues associated with the first two transcatheter heart valve (THV) devices, i.e., SAPIEN (Edwards Lifesciences, Irvine, CA, USA), and CoreValve® (Medtronic, Minneapolis, MN, USA) were the inability to reposition, paravalvular leaks and conduction disturbances1. Second- and third-generation THV designs were introduced to address some of ...

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Percutaneous paravalvular leak closure? Perhaps a glimmer of hope after a long course of marginal success