PMID- 29362573
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220311
IS  - 1734-9338 (Print)
IS  - 1897-4295 (Electronic)
IS  - 1734-9338 (Linking)
VI  - 13
IP  - 4
DP  - 2017
TI  - Closure of mitral paravalvular defects without performing an arteriovenous loop: 
      a case series of fourteen patients.
PG  - 307-312
LID - 10.5114/aic.2017.71612 [doi]
AB  - INTRODUCTION: The arteriovenous (AV) loop is recommended when further support is 
      needed during paravalvular leak (PVL) closure. AIM: We report the feasibility and 
      safety of mitral PVL closure without constructing an AV loop, based on a 
      single-centre experience. MATERIAL AND METHODS: Fourteen patients with mitral 
      valve replacement (MVR) who had New York Heart Association (NYHA) class III-IV 
      dyspnoea or NYHA class II symptoms with significant haemolytic anaemia caused by 
      severe or moderate-to-severe paravalvular regurgitation and who underwent 
      transcatheter PVL closure (TPVLC) between May 2014 and February 2017 were 
      enrolled. RESULTS: In total, 15 PVL procedures and 19 device deployments were 
      performed. The patients had one (n = 10), three (n = 1) or four (n = 1) devices 
      for closure at the time of the procedure; one patient had two devices from two 
      procedures at different times with different access ways. Nineteen devices (10 
      (66.6%) via transseptal access; 4 (26.6%), transapical access; and 1 (6.6%), 
      retrograde access) were deployed successfully without making an AV loop. 
      CONCLUSIONS: The TPVLC is a less invasive and effective alternative to surgery in 
      symptomatic patients with significant PVLs and high operational risks. The 
      success rates are satisfactory, with improving techniques and devices. Procedural 
      success without using an AV loop can be achieved with reduced costs, fluoroscopic 
      times and complications.
FAU - Kilicgedik, Alev
AU  - Kilicgedik A
AD  - Kartal Kosuyolu Heart Institution, Training Hospital, Istanbul, Turkey.
FAU - Gunduz, Sabahattin
AU  - Gunduz S
AD  - Kartal Kosuyolu Heart Institution, Training Hospital, Istanbul, Turkey.
FAU - Fedakar, Ali
AU  - Fedakar A
AD  - Kartal Kosuyolu Heart Institution, Training Hospital, Istanbul, Turkey.
FAU - Sunar, Hasan
AU  - Sunar H
AD  - Kartal Kosuyolu Heart Institution, Training Hospital, Istanbul, Turkey.
FAU - Izgi, Akin
AU  - Izgi A
AD  - Kartal Kosuyolu Heart Institution, Training Hospital, Istanbul, Turkey.
FAU - Turkmen, Muhsin
AU  - Turkmen M
AD  - Kartal Kosuyolu Heart Institution, Training Hospital, Istanbul, Turkey.
FAU - Ozkan, Mehmet
AU  - Ozkan M
AD  - Kartal Kosuyolu Heart Institution, Training Hospital, Istanbul, Turkey.
FAU - Kirma, Cevat
AU  - Kirma C
AD  - Kartal Kosuyolu Heart Institution, Training Hospital, Istanbul, Turkey.
LA  - eng
PT  - Journal Article
DEP - 20171129
PL  - Poland
TA  - Postepy Kardiol Interwencyjnej
JT  - Postepy w kardiologii interwencyjnej = Advances in interventional cardiology
JID - 101272671
PMC - PMC5770861
OTO - NOTNLM
OT  - mitral regurgitation
OT  - paravalvular leak
OT  - percutaneous mitral valvuloplasty
EDAT- 2018/01/25 06:00
MHDA- 2018/01/25 06:01
PMCR- 2017/01/01
CRDT- 2018/01/25 06:00
PHST- 2017/08/08 00:00 [received]
PHST- 2017/10/28 00:00 [accepted]
PHST- 2018/01/25 06:00 [entrez]
PHST- 2018/01/25 06:00 [pubmed]
PHST- 2018/01/25 06:01 [medline]
PHST- 2017/01/01 00:00 [pmc-release]
AID - 31043 [pii]
AID - 10.5114/aic.2017.71612 [doi]
PST - ppublish
SO  - Postepy Kardiol Interwencyjnej. 2017;13(4):307-312. doi: 10.5114/aic.2017.71612. 
      Epub 2017 Nov 29.