Why the study?
Surgical paravalvular leak closure carries high risks, while transcatheter closure is lower risk but challenging, prompting a review of procedural tools and devices based on a decade of registry experience.
This review highlights that 3D echocardiography and specific devices (AVP 3 and PLD) are the mainstays of transcatheter paravalvular leak closure based on a decade of multinational registry experience.
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Supports AVP 3/PLD selection and 3D echo guidance for PVL closure; hypothesis-generating pending randomized evidence.
Hascoët et al. (2022) studied this question.
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