Assessment of paravalvular regurgitation following TAVR: a proposal of unifying grading scheme. [Review]

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Citation: Jacc: Cardiovascular Imaging. 8(3):340-60, 2015 Mar.PMID: 25772838Institution: MedStar Heart & Vascular InstituteForm of publication: Journal ArticleMedline article type(s): Journal Article | Research Support, Non-U.S. Gov't | Review | Video-Audio MediaSubject headings: *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 OutcomeYear: 2015ISSN:
  • 1876-7591
Name of journal: JACC. Cardiovascular imagingAbstract: 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.All authors: Hahn RT, Monaghan MJ, Pibarot P, Weissman NJFiscal year: FY2015Digital Object Identifier: Date added to catalog: 2016-01-15
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Journal Article MedStar Authors Catalog Article 25772838 Available 25772838

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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