Valvular & structural heart diseaseCohort study
Transcatheter Paravalvular Leak Closure With Covered Stent Tract and Vascular Plug
- Case series
- consecutive patients
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
Main finding
As reported in the abstract
Technical success (immediate elimination of target PVL)
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. JACC Cardiovasc Interv. Published 17 January 2024. doi:10.1016/j.jcin.2023.11.034
Summarised from the published abstract; every number is checked against it