Assessment of paravalvular regurgitation following TAVR: a proposal of unifying grading scheme. [Review]
Assessment of paravalvular regurgitation following TAVR: a proposal of unifying grading scheme. [Review]
- 2015
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. Copyright � 2015 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.
English
1876-7591
*Aortic Valve
*Aortic Valve Insufficiency/di [Diagnosis]
*Cardiac Catheterization/ae [Adverse Effects]
*Heart Valve Diseases/th [Therapy]
*Heart Valve Prosthesis Implantation/ae [Adverse Effects]
*Multimodal Imaging/mt [Methods]
Aortic Valve Insufficiency/et [Etiology]
Aortic Valve Insufficiency/mo [Mortality]
Aortic Valve Insufficiency/pp [Physiopathology]
Aortic Valve/pp [Physiopathology]
Cineangiography
Consensus
Echocardiography, Doppler, Color
Echocardiography, Transesophageal
Heart Valve Diseases/di [Diagnosis]
Heart Valve Diseases/mo [Mortality]
Heart Valve Diseases/pp [Physiopathology]
Heart Valve Prosthesis Implantation/mo [Mortality]
Heart Valve Prosthesis Implantation/mt [Methods]
Hemodynamics
Humans
Incidence
Magnetic Resonance Imaging
Predictive Value of Tests
Risk Factors
Severity of Illness Index
Treatment Outcome
MedStar Heart & Vascular Institute
Journal Article
Research Support, Non-U.S. Gov't
Review
Video-Audio Media
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. Copyright � 2015 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.
English
1876-7591
*Aortic Valve
*Aortic Valve Insufficiency/di [Diagnosis]
*Cardiac Catheterization/ae [Adverse Effects]
*Heart Valve Diseases/th [Therapy]
*Heart Valve Prosthesis Implantation/ae [Adverse Effects]
*Multimodal Imaging/mt [Methods]
Aortic Valve Insufficiency/et [Etiology]
Aortic Valve Insufficiency/mo [Mortality]
Aortic Valve Insufficiency/pp [Physiopathology]
Aortic Valve/pp [Physiopathology]
Cineangiography
Consensus
Echocardiography, Doppler, Color
Echocardiography, Transesophageal
Heart Valve Diseases/di [Diagnosis]
Heart Valve Diseases/mo [Mortality]
Heart Valve Diseases/pp [Physiopathology]
Heart Valve Prosthesis Implantation/mo [Mortality]
Heart Valve Prosthesis Implantation/mt [Methods]
Hemodynamics
Humans
Incidence
Magnetic Resonance Imaging
Predictive Value of Tests
Risk Factors
Severity of Illness Index
Treatment Outcome
MedStar Heart & Vascular Institute
Journal Article
Research Support, Non-U.S. Gov't
Review
Video-Audio Media