Valvular & structural heart disease

Transcatheter Paravalvular Leak Closure With Covered Stent Tract and Vascular Plug: Tootsie Roll Technique

JACC Cardiovasc IntervPublished Case series

Authors' conclusion

The technique of sequential deployment of a covered stent and vascular plug may effectively treat THV-related PVL.

Study context

Population
Patients with transcatheter heart valve (THV)-related paravalvular leak after transcatheter aortic valve replacement (TAVR) or transcatheter mitral valve replacement (TMVR)5 aortic, 4 mitral
Participants
8 patients
Outcome
Technical success (immediate elimination of target PVL)
Methodological detailsconsecutive patients
  • Consecutive patients

Main finding

As reported in the abstract

All had technical success with immediate elimination of target paravalvular leak (PVL), without in-hospital complications

8

All discharged alive; median stay

3.5 days

Q1-Q3: 1.0–4.8 days

Observational data: associations, not effects.

Further findings

PVL recurrence · 30 days

Recurrence of PVL in remaining patients
0

NYHA functional class

Decreased to NYHA class I/II
6
NYHA class III remaining (MR awaiting valve replacement)
1

Death before 30 days (complication of valve-in-MAC TMVR)

Deaths
1

Original publication

Transcatheter Paravalvular Leak Closure With Covered Stent Tract and Vascular Plug: Tootsie Roll Technique. JACC Cardiovasc Interv. Published 17 January 2024. doi:10.1016/j.jcin.2023.11.034

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