January 1, 2012Turk Kardiyoloji Dernegi Arsivi-Archives of the Turkish Society of CardiologyOpen Access

Percutaneous closure of paravalvular mitral regurgitation with Vascular Plug III under the guidance of real-time three-dimensional transesophageal echocardiography

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Why the study?

Does transcatheter closure with AVP III under RT-3D TEE guidance improve outcomes in patients with severe symptomatic mitral PVL?

Population

3 patients with severe symptomatic mitral paravalvular leak (PVL) at high risk for repeat surgery

Design

Case_series

Follow-up

up to 24 months

Authors

MÖMehmet ÖzkanYalova University

Discussion

Member takes

Implication

Initial success in case reports warrants clinical caution; leaves open durability of nondedicated devices and need for prospective trials.

Structured PICO

Does transcatheter closure with AVP III under RT-3D TEE guidance improve outcomes in patients with severe symptomatic mitral PVL?

Population

3 patients with severe symptomatic mitral paravalvular leak (PVL) at high risk for repeat surgery

Intervention

Transcatheter mitral PVL closure using Amplatzer Vascular Plug III (AVP-III) under the guidance of real-time three-dimensional transesophageal echocardiography (RT-3D TEE) via transfemoral approach

Outcome

Feasibility and short, mid, and long-term efficacy of transcatheter mitral PVL closure

While RT-3D TEE-guided transcatheter closure of mitral paravalvular leaks with AVP III is feasible, the lack of a dedicated device limits long-term success and often necessitates re-operation.

Limitations

Absence of a specific closure device limits mid and long-term success rates
Very small sample size (n=3)

Cite This Study

Mehmet Özkan (2012) studied this question.

synapsesocial.com/papers/6a8bf73fc716e89f35df0703 https://doi.org/10.5543/tkda.2012.84883

Topics

Mitral valve intervention

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Implication

Initial success in case reports warrants clinical caution; leaves open durability of nondedicated devices and need for prospective trials.

Percutaneous closure of paravalvular mitral regurgitation with Vascular Plug III under the guidance of real-time three-dimensional transesophageal echocardiography

Discussion

Member takes

Implication

Structured PICO

Limitations

Cite This Study

Topics

Percutaneous closure of paravalvular mitral regurgitation with Vascular Plug III under the guidance of real-time three-dimensional transesophageal echocardiography

Discussion

Member takes

Implication

Structured PICO

Limitations

Cite This Study

Also Consider

Topics

Also Consider