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

The Retro-antegrade Approach to Paravalvular Leak Closure After Transcatheter Aortic Valve Replacement

DOI: 10.4244/EIJ-D-19-01122

1. Henry Ford Hospital, Detroit, Michigan, United States

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Paravalvular leak (PVL) post-transcatheter aortic valve replacement (TAVR) is challenging to close due to presence of transcatheter valve frame and calcium along the leak. We adopted the “retro-antegrade” approach to facilitate catheter and device delivery in closing 3 SAPIEN-3 (Edwards Lifesciences) PVL 3, 5 and 1-month post-TAVR respectively due to bulky left ventricular outflow tract (LVOT) calcium. Single arterial access for a 14Fr DrySeal sheath (Gore) were used in all patients.

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