MedStar Authors catalog › Details for: Assessment of paravalvular regurgitation following TAVR: a proposal of unifying grading scheme. [Review]
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Assessment of paravalvular regurgitation following TAVR: a proposal of unifying grading scheme. [Review]

by Weissman, Neil J.
Citation: Jacc: Cardiovascular Imaging. 8(3):340-60, 2015 Mar..Journal: JACC. Cardiovascular imaging.ISSN: 1876-7591.Full author list: Pibarot P; Hahn RT; Weissman NJ; Monaghan MJ.UI/PMID: 25772838.Subject(s): Aortic Valve/pp [Physiopathology] | *Aortic Valve | *Aortic Valve Insufficiency/di [Diagnosis] | Aortic Valve Insufficiency/et [Etiology] | Aortic Valve Insufficiency/mo [Mortality] | Aortic Valve Insufficiency/pp [Physiopathology] | *Cardiac Catheterization/ae [Adverse Effects] | Cineangiography | Consensus | Echocardiography, Doppler, Color | Echocardiography, Transesophageal | Heart Valve Diseases/di [Diagnosis] | Heart Valve Diseases/mo [Mortality] | Heart Valve Diseases/pp [Physiopathology] | *Heart Valve Diseases/th [Therapy] | *Heart Valve Prosthesis Implantation/ae [Adverse Effects] | Heart Valve Prosthesis Implantation/mt [Methods] | Heart Valve Prosthesis Implantation/mo [Mortality] | Hemodynamics | Humans | Incidence | Magnetic Resonance Imaging | *Multimodal Imaging/mt [Methods] | Predictive Value of Tests | Risk Factors | Severity of Illness Index | Treatment OutcomeInstitution(s): MedStar Heart & Vascular InstituteActivity type: Journal Article.Medline article type(s): Journal Article | Research Support, Non-U.S. Gov't | Review | Video-Audio MediaDigital Object Identifier: (Click here) Abbreviated citation: JACC Cardiovasc Imaging. 8(3):340-60, 2015 Mar.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. Copyright � 2015 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

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