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Related Experiment Video

Updated: Feb 12, 2026

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels

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Published on: May 26, 2023

Percutaneous Paravalvular Leak Closure.

Amar Krishnaswamy¹, E Murat Tuzcu², Samir R Kapadia³

¹Interventional Cardiology Fellowship.

Interventional Cardiology (London, England)

|March 29, 2018

Summary

Symptomatic paravalvular leak (PVL) after surgery can cause heart failure. Percutaneous PVL closure offers a less risky alternative with high success rates and promising outcomes for patients.

Keywords:

C-arm computed tomography integration DynaCT Percutaneous paravalvular leak closure structural cardiac intervention transoesophageal echocardiography

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Published on: July 31, 2016

Area of Science:

Cardiovascular Medicine
Interventional Cardiology
Cardiac Surgery

Background:

Symptomatic paravalvular leak (PVL) affects up to 12% of patients post-surgical valve replacement.
Reoperation for PVL carries significant risks and lower success rates compared to initial surgery.
Congestive heart failure and hemolysis are common presentations of symptomatic PVL.

Purpose of the Study:

To evaluate the efficacy and safety of percutaneous paravalvular leak (PVL) closure.
To highlight the role of structural cardiac intervention in managing complex PVL.
To emphasize the importance of multimodality imaging in PVL diagnosis and treatment.

Main Methods:

Review of large series data on percutaneous PVL closure procedures.
Analysis of procedural success rates and clinical outcomes.
Assessment of the necessity of multimodality imaging for diagnosis and intervention.

Main Results:

Percutaneous PVL closure demonstrates high procedural success rates.
The intervention shows promising clinical outcomes for patients with symptomatic PVL.
Multimodality imaging is crucial for accurate diagnosis and successful closure procedures.

Conclusions:

Percutaneous PVL closure is an effective and safer alternative to reoperation for symptomatic PVL.
Structural cardiac intervention specialists are key to successful PVL management.
Expertise in multimodality imaging is essential for optimal patient care in PVL closure.