Percutaneous Valvular Closure Followed by TAV-in-TAV Intervention during a Single Procedure in order to Treat a Severe Paravalvular Leak after Performing TAVI in a Bicuspid Aortic Stenosis
oleh: Georgios Tzimas, Eric Eeckhout, Panagiotis Antiochos, Christan Roguelov, Stephane Fournier, Brahim Harbaoui, Pierre Monney, Olivier Muller
| Format: | Article |
|---|---|
| Diterbitkan: | Wiley 2019-01-01 |
Deskripsi
In an era where transcatheter aortic valve implantation (TAVI) indications and utilization are expanding beyond high-risk patients, paravalvular leak remains the intervention’s Achilles heel. Effective reduction of paravalvular leak is important in order to ensure an optimal clinical outcome. We present here the first case report in which percutaneous valvular closure using Amplatzer plugs followed by a TAV-in-TAV intervention during the same procedure managed to resolve a severe paravalvular leak with haemodynamic instability, after TAVI for a bicuspid aortic stenosis.