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

Editorial

Transcatheter paravalvular leak closure: catch me if you can

EuroIntervention 2021;17:699-700. DOI: 10.4244/EIJV17I9A121

1. Department of Cardiology, Inselspital, University of Bern, Bern, Switzerland
Paravalvular leaks (PVL) represent pathological communications between the native annulus and the prosthetic valve, develop more frequently in the mitral than in the aortic position, and more often in mechanical than in biological prostheses. They are typically manifested by heart failure and haemolytic anaemia.

The diversity of PVL warrants an individualised treatment strategy according to surgical risk and anatomic suitability for transcatheter closure (Figure 1). Current guidelines recommend redo surgery for clinically relevant PVL as the preferred treatment strategy. Transcatheter PVL closure has been established as an alternative to surgery in inoperable or surgical high-risk patients with suitable anatomy1,2. The ...

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