The Challenge of Integrated Echocardiographic Approach in Percutaneous Closure of Paravalvular Leak
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Key result
Real-time 3D and ICE-guided percutaneous paravalvular leak closure successfully reduces mitral regurgitation and symptoms.
- n=1
Why the study?
Percutaneous closure of paravalvular leaks is technically challenging and carries potential complications, requiring multimodality imaging to effectively plan and guide the procedure.
Design
Case report
Authors
Discussion
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Member takes
Implication
Supports multimodality imaging guidance in selected cases; leaves open need for prospective validation before wider use.
Study Design
Type
Case Report (n=1)
Multicenter
No
Structured PICO
P
Population
An 88-year-old man with severe mitral regurgitation due to a paravalvular leak and high surgical risk who underwent percutaneous closure.
I
Intervention
Percutaneous closure guided by transthoracic real-time three-dimensional echocardiography and intracardiac echocardiography
An integrated multimodality imaging approach using 3D TTE and ICE can effectively guide the challenging percutaneous closure of mitral paravalvular leaks.
Limitations
- Available outcome data for this procedure are scarce and nonunivocal, limited to small numbers of patients and isolated case reports.
Cite This Study
Cappelli et al. (2011) conducted a case report in Paravalvular leak (n=1). Percutaneous closure of paravalvular leak guided by RT3DE and ICE was evaluated on Reduction of paravalvular regurgitation. Percutaneous closure of a paravalvular leak guided by real-time three-dimensional and intracardiac echocardiography resulted in significant reduction of mitral regurgitation and symptoms.
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