PVL closure after TAVR: Yes, we can do it

Area of Science:

• Cardiovascular Medicine
• Interventional Cardiology
• Prosthetic Heart Valves

Background:

• Paravalvular leak (PVL) is a recognized complication following transcatheter aortic valve replacement (TAVR).
• PVL significantly contributes to long-term patient morbidity and mortality.
• Current management strategies for PVL require careful consideration.

Discussion:

• The feasibility of percutaneous approaches for managing post-TAVR PVL is increasingly evident.
• This minimally invasive strategy offers a potential solution for a challenging clinical problem.
• Adoption by structural heart interventionalists is recommended.

Key Insights:

• Percutaneous techniques provide a feasible treatment option for paravalvular leaks after TAVR.
• Effective management of PVL is crucial for improving long-term outcomes in TAVR patients.
• Structural heart interventionalists should consider adopting these percutaneous methods.

Outlook:

• Further research and standardization of percutaneous PVL closure techniques are anticipated.
• Expanded use of percutaneous management may improve TAVR patient survival and quality of life.
• This approach represents a significant advancement in TAVR complication management.