Assessment of paravalvular regurgitation following TAVR : a proposal of unifying grading scheme.
|Authors:||Pibarot, Philippe; Hahn, Rebecca T.; Weissman, Neil J.; Monaghan, Mark J.|
|Abstract:||Paravalvular regurgitation (PVR) is a frequent complication of transcatheter aortic valve replacement that has been shown to be associated with increased mortality. The objective of this article is to review the most up-to-date information about the assessment and management of PVR and to propose a new more comprehensive and unifying scheme for grading PVR severity. A multimodality, multiparametric, integrative approach including Doppler echocardiography, cineangiography, hemodynamic assessment, and/or cardiac magnetic resonance is essential to accurately assess the severity of PVR and the underlying etiology. Corrective procedures such as balloon post-dilation, valve-in-valve, or leak closure may be considered, depending on the severity, location, and etiology of PVR.|
|Document Type:||Article de recherche|
|Issue Date:||1 March 2015|
|Open Access Date:||27 July 2016|
|This document was published in:||JACC. Cardiovascular imaging, Vol. 8 (3), 340–360 (2015)|
|Collection:||Articles publiés dans des revues avec comité de lecture|
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