IMR Press / RCM / Volume 13 / Issue 4 / DOI: 10.3909/ricm0612

Reviews in Cardiovascular Medicine (RCM) is published by IMR Press from Volume 19 Issue 1 (2018). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by IMR Press on as a courtesy and upon agreement with MedReviews, LLC.

Open Access Review
Percutaneous Closure of Prosthetic Paravalvular Leaks
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1 Department of Valvular Heart Disease, Institute of Cardiology, Warsaw, Poland
2 Department of Coronary and Structural Heart Diseases, Institute of Cardiology, Warsaw, Poland
Rev. Cardiovasc. Med. 2012, 13(4), 169–175;
Published: 30 December 2012
Paravalvular leaks (PVLs) are relatively common after valve replacement. These leaks are usually small and disappear during the follow-up. Symptomatic PVLs occur in 1% to 2% of patients undergoing valve replacement. PVLs causing clinical consequences require surgical intervention. Surgery is considered the gold standard of dehiscence repair. In recent years, the use of percutaneous closure devices for closing PVLs has been proposed as an alternative to surgery. Such techniques are less invasive and can be used in most high-risk patients instead of performing repeat surgery. This article describes how to assess the leak as well as the technical aspects of the procedure.
Paravalvular leak
Percutaneous leak closure
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