Key result
Cardiac imaging techniques, particularly 3D transoesophageal echocardiography, are essential for diagnosing, selecting patients, and guiding percutaneous transcatheter closure of prosthetic paravalvular leaks.
Cardiac imaging, particularly 2D and 3D TEE, plays an essential role in the diagnosis, guidance, and outcome evaluation of percutaneous transcatheter closure for prosthetic paravalvular leaks.
Highlights need for advanced imaging expertise in PVL interventions; leaves open prospective validation of 3D TEE-guided outcomes.
Prosthetic paravalvular leaks (PVL) is an uncommon but serious complication after surgical valve replacement. Although surgery has been the traditional treatment of choice in hemodynamically significant PVL, percutaneous transcatheter closure is emerging as a novel and less invasive option for patients with high operative risk. Cardiac imaging, especially two- and three-dimensional transoesophageal echocardiography, plays an essential role in the diagnosis, guidance of intervention and subsequently in the evaluation of the outcomes of the procedure. The aim of this manuscript is to review the role of cardiac imaging techniques in the interventional management of patients with symptomatic PVL.
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Lázaro et al. (2014) conducted a review in Prosthetic paravalvular leaks. Cardiac imaging techniques was evaluated. Cardiac imaging techniques, particularly 3D transoesophageal echocardiography, are essential for diagnosing, selecting patients, and guiding percutaneous transcatheter closure of prosthetic paravalvular leaks.
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