Does percutaneous device closure provide safe and effective treatment in patients with significant paravalvular leaks?
Transcatheter device closure is a safe and effective procedure with high technical and procedural success rates for patients with symptomatic paravalvular leaks.
The incidence of paravalvular leak (PVL) following surgical valve replacement is 5-17%. Our main aim is to determine the safety and efficacy of percutaneous device closure for significant PVLs.Transcatheter device closure was done for 45 PVLs in 42 patients. PVLs were closed percutaneously in mitral position in 23 cases, in aortic position in 20 cases, and combined mitral and aortic leaks in 2 cases. We achieved a technical success rate of 93.33 % and procedural success rate of 91.11%. Transcatheter PVL closure is a safe and effective procedure for symptomatic PVLs.
Khanolkar et al. (Thu,) studied this question.