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Updated: Sep 19, 2025

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
Published on: October 16, 2021
Percutaneous Paravalvular Leak Closure of the EVOQUE Transcatheter Tricuspid Valve Replacement System
Gennaro Giustino1, James C Lee1, Brian P O'Neill1
1Center for Structural Heart Disease, Henry Ford Health System, Detroit, Michigan, USA.
Abstract:
•Transcatheter closure of paravalvular leak of the EVOQUE valve is feasible and can be done from a transfemoral or transjugular approach.•Preoperative cardiac computed tomography is useful to characterize the location and size of the paravalvular leak defects.•The mechanisms of late paravalvular leak are unclear, but the progressive right ventricular dilatation and ellipsoid deformation of the tricuspid annulus may contribute to the development of leaks in the septal and lateral positions.
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