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
Document version: VoR
This document was published in: JACC. Cardiovascular imaging, Vol. 8 (3), 340–360 (2015)
Alternative version: 10.1016/j.jcmg.2015.01.008
Collection:Articles publiés dans des revues avec comité de lecture

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