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Leaving obstacles aside: antegrade paravalvular leakage closure after transcatheter aortic valve replacement
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Leaving obstacles aside: antegrade paravalvular leakage closure after transcatheter aortic valve replacement
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Journal Article
Leaving obstacles aside: antegrade paravalvular leakage closure after transcatheter aortic valve replacement
2023
Overview
Paravalvular leakage (PVL) is yet a potential and serious complication after transcatheter aortic valve replacement. Percutaneous PVL closure may be the treatment of choice upon failure of balloon postdilation in patients with excessive surgical risk. If the retrograde approach fails, an antegrade strategy might provide the solution. Transcatheter heart valves with large frames pose specific challenges for transcatheter paravalvular leakage closure. When the retrograde approach fails despite the use of high‐support guidewires, an antegrade approach could help overcome this issue based on the diminished interaction with the transcatheter heart valve structures.
Publisher
John Wiley & Sons, Inc,John Wiley and Sons Inc,Wiley
