Author + information
- Received July 8, 2008
- Revision received August 28, 2008
- Accepted October 10, 2008
- Published online February 1, 2009.
- Michael S. Kim, MD⁎,
- Ivan P. Casserly, MB, BCh, FACC⁎,†,
- Joel A. Garcia, MD, FACC⁎,‡,
- Andrew J. Klein, MD⁎,
- Ernesto E. Salcedo, MD, FACC⁎ and
- John D. Carroll, MD, FACC⁎,⁎ ()
- ↵⁎Reprint requests and correspondence:
Dr. John D. Carroll, University of Colorado Denver–Anschutz Medical Campus, Leprino Office Building, Room 524, 12401 East 17th Avenue, P.O. Box 6511, Campus Box B-132, Aurora, Colorado 80045
A potential complication of mitral valve replacement surgery is the development of a paravalvular leak (PVL). Percutaneous transcatheter closures of PVLs using a wide array of devices have been reported in the literature, although the procedural success rate of this approach remains variable. One major challenge of transcatheter mitral PVL closure lies in the ability to adequately visualize the area of interest to facilitate defect crossing and equipment selection. Furthermore, the current spectrum of devices available for off-label use in the closure of these unique defects remains limited. This review examines the current state of transcatheter prosthetic mitral PVL closure, describes our institution's experience using advanced imaging modalities for procedural guidance, and illustrates some of the limitations associated with using existing devices in transcatheter PVL closure.
- paravalvular leak
- perivalvular leak
- mitral valve
- prosthetic valve
- 3-dimensional echocardiography
- percutaneous transcatheter closure
- rapid prototyping
Dr. Carroll is a consultant/investigator for AGA Medical Inc. and a consultant/member of the Speakers' Bureau for Philips Healthcare. Dr. Salcedo is a consultant for Philips Healthcare.
- Received July 8, 2008.
- Revision received August 28, 2008.
- Accepted October 10, 2008.
- American College of Cardiology Foundation
- Technical Approach to Transcatheter Mitral PVL Closure
- Choice of PVL Closure Device
- Advanced Image Guidance With 3D Echocardiography
- Pre-Procedural Planning With Rapid Prototyping
- Limitations of Currently Available Devices
- Designing New Equipment and Devices