Multimodality Imaging for Transcatheter Paravalvular Leak Closure in Radiolucent Mitral Bioprosthesis
Key result
A comprehensive multimodality imaging strategy using CT, 3D TEE, and fluoroscopic fusion successfully guided the percutaneous closure of a paravalvular leak in a radiolucent mitral bioprosthesis.
Why the study?
A comprehensive multimodality imaging strategy was required to overcome the limitation of a completely radiolucent bioprosthesis during transcatheter paravalvular leak closure.
Population
One 77-year-old man with heart failure from a 31-mm BioMitral bioprosthesis paravalvular leak
Design
Case report
Authors
Discussion
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Member takes
Implication
May support transseptal PVL closure in radiolucent bioprostheses with imaging guidance; hypothesis-generating and requires prospective validation.
Study Design
Type
Case Report (n=1)
Multicenter
No
Structured PICO
P
Population
A 77-year-old man with heart failure caused by a paravalvular leak in a radiolucent mitral bioprosthesis.
I
Intervention
Percutaneous transseptal paravalvular leak closure using a multimodality imaging strategy (preprocedural CT, 3D transesophageal echocardiography, and echocardiographic-fluoroscopic fusion imaging) to deploy an Amplatzer Vascular Plug III
O
Outcome
Successful device release and procedural result
A comprehensive multimodality imaging strategy using CT and echocardiographic-fluoroscopic fusion enables successful transcatheter closure of paravalvular leaks in completely radiolucent mitral bioprostheses.
Cite This Study
Beneduce et al. (2019) conducted a case report in Paravalvular leak causing heart failure (n=1). Percutaneous paravalvular leak closure using multimodality imaging was evaluated on Successful device release. A comprehensive multimodality imaging strategy using CT, 3D TEE, and fluoroscopic fusion successfully guided the percutaneous closure of a paravalvular leak in a radiolucent mitral bioprosthesis.