TY - BOOK AU - Weissman, Neil J TI - Assessment of paravalvular regurgitation following TAVR: a proposal of unifying grading scheme. [Review] SN - 1876-7591 PY - 2015/// KW - *Aortic Valve KW - *Aortic Valve Insufficiency/di [Diagnosis] KW - *Cardiac Catheterization/ae [Adverse Effects] KW - *Heart Valve Diseases/th [Therapy] KW - *Heart Valve Prosthesis Implantation/ae [Adverse Effects] KW - *Multimodal Imaging/mt [Methods] KW - Aortic Valve Insufficiency/et [Etiology] KW - Aortic Valve Insufficiency/mo [Mortality] KW - Aortic Valve Insufficiency/pp [Physiopathology] KW - Aortic Valve/pp [Physiopathology] KW - Cineangiography KW - Consensus KW - Echocardiography, Doppler, Color KW - Echocardiography, Transesophageal KW - Heart Valve Diseases/di [Diagnosis] KW - Heart Valve Diseases/mo [Mortality] KW - Heart Valve Diseases/pp [Physiopathology] KW - Heart Valve Prosthesis Implantation/mo [Mortality] KW - Heart Valve Prosthesis Implantation/mt [Methods] KW - Hemodynamics KW - Humans KW - Incidence KW - Magnetic Resonance Imaging KW - Predictive Value of Tests KW - Risk Factors KW - Severity of Illness Index KW - Treatment Outcome KW - MedStar Heart & Vascular Institute KW - Journal Article KW - Research Support, Non-U.S. Gov't KW - Review KW - Video-Audio Media N2 - 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 UR - http://dx.doi.org/10.1016/j.jcmg.2015.01.008 ER -