Key result
Percutaneous LV pseudoaneurysm closure achieves ~85% first-attempt success as an alternative to surgery.
Why the study?
The indications, treatment effects, and patient outcomes of percutaneous management of left ventricular pseudoaneurysm have not been comprehensively described.
Does percutaneous closure improve outcomes in patients with left ventricular pseudoaneurysm?
Systematic Review (n=93)
Does percutaneous closure improve outcomes in patients with left ventricular pseudoaneurysm?
Percutaneous closure of left ventricular pseudoaneurysm is a feasible option with an 84.9% first-try success rate, particularly indicated for patients at high surgical risk.
Percutaneous LVPA repair appears feasible in selected patients; leaves open need for prospective data on indications and durability.
The aim of the present study is to describe the indications, treatment effects, and patient outcomes of percutaneous management of left ventricular pseudoaneurysm (LVPA). The study materials were based on comprehensive literature retrieval since 2004. The mechanisms of LVPA formation can be divided into surgical, percutaneous, and medial disease related. Of the surgical mechanisms, coronary artery bypass grafting prevailed. The formation time was the longest in medical disease-related LVPAs up to 44.4 months. The percutaneous procedures succeeded on the first try in 79 (84.9%) patients, whereas failures were encountered during the percutaneous manoeuvres in 14 (15.1%) patients. Percutaneous closure of LVPA was especially indicated for patients carrying a high surgical risk. The iatrogenic traumas, such as left ventricular venting, should be avoided to prevent this complication. The preliminary cut-off valves of oversize 3.3 mm and oversize ratio 1.6 should be followed for reference for device choice.
No takes yet. Share an insight, caveat, or question.
Shi‐Min Yuan (2022) conducted a systematic review in Left ventricular pseudoaneurysm (n=93). Percutaneous closure was evaluated on Procedural success on the first attempt. Percutaneous closure of left ventricular pseudoaneurysm succeeded on the first attempt in 84.9% of patients and was associated with an 8.5% mortality rate, serving as a viable alternative for high-risk surgical candidates.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: