PMID- 31671059
OWN - NLM
STAT- MEDLINE
DCOM- 20200319
LR  - 20200319
IS  - 1557-2501 (Electronic)
IS  - 1042-3931 (Linking)
VI  - 31
IP  - 11
DP  - 2019 Nov
TI  - Percutaneous Occlusion of Paravalvular Aortic Leaks: A Single-Center Experience 
      Focused on Intracardiac Echocardiography.
PG  - 346-351
AB  - OBJECTIVES: To describe our initial experience with an intracardiac 
      echocardiography (ICE) for guidance of aortic percutaneous paravalvular leak 
      occlusion (PPVLO) and to assess the outcomes after aortic PPVLO. BACKGROUND: 
      PPVLO has emerged as an alternative to cardiac surgery for patients with 
      symptomatic PVLs. ICE is an appealing alternative to transesophageal 
      echocardiography (TEE) for guidance of percutaneous structural interventions, but 
      experience with ICE for PPVLO guidance is limited. METHODS: We performed a 
      retrospective analysis of all aortic PPVLOs performed in our center. The primary 
      endpoints were technical and procedural success. Secondary endpoints included 
      procedure-related complications, mortality, hospital admission due to heart 
      failure, and improvement in New York Heart Association (NYHA) functional class. 
      RESULTS: Ten aortic PPVLOs were included. ICE was used to guide 40% of the aortic 
      PPVLOs. Median follow-up was 22 months (interquartile range, 3-33 months). 
      Mortality was 22% and hospital admission due to heart failure was 33%. Technical 
      and procedural success rates were 90% and 80%, respectively. Median NYHA class 
      improved significantly after the procedure (P<.01). Success was achieved in all 
      ICE cases without any procedure-related complications. CONCLUSION: In our initial 
      experience with an ICE-guided approach for aortic PPVLO, technical and procedural 
      success were achieved and there were no procedure-related complications.
FAU - Ribeiro, Joana Maria
AU  - Ribeiro JM
AD  - Servico de Cardiologia, Centro Hospitalar e Universitario de Coimbra - Polo 
      Hospital Geral, Quinta dos Vales, 3041-801, Coimbra, Portugal. 
      joanamsbgribeiro@gmail.com.
FAU - Paiva, Luis
AU  - Paiva L
FAU - Teixeira, Rogerio
AU  - Teixeira R
FAU - Puga, Luis
AU  - Puga L
FAU - Lopes, Joao
AU  - Lopes J
FAU - Sousa, Jose Pedro
AU  - Sousa JP
FAU - Campos, Diana
AU  - Campos D
FAU - Saleiro, Carolina
AU  - Saleiro C
FAU - Costa, Marco
AU  - Costa M
FAU - Goncalves, Lino
AU  - Goncalves L
LA  - eng
PT  - Journal Article
PL  - United States
TA  - J Invasive Cardiol
JT  - The Journal of invasive cardiology
JID - 8917477
SB  - IM
MH  - Aged
MH  - Aortic Valve/diagnostic imaging/*surgery
MH  - Cardiac Catheterization/*methods
MH  - Cardiac Surgical Procedures/*methods
MH  - Endoleak/diagnosis/*surgery
MH  - Female
MH  - Follow-Up Studies
MH  - Heart Valve Diseases/*surgery
MH  - Heart Valve Prosthesis Implantation/adverse effects
MH  - Humans
MH  - Intraoperative Period
MH  - Male
MH  - Middle Aged
MH  - Prosthesis Failure
MH  - Reoperation
MH  - Retrospective Studies
MH  - *Septal Occluder Device
MH  - Ultrasonography, Interventional/*methods
OTO - NOTNLM
OT  - intracardiac echocardiography
OT  - paravalvular leak
OT  - percutaneous occlusion
EDAT- 2019/11/02 06:00
MHDA- 2020/03/20 06:00
CRDT- 2019/11/01 06:00
PHST- 2019/11/01 06:00 [entrez]
PHST- 2019/11/02 06:00 [pubmed]
PHST- 2020/03/20 06:00 [medline]
PST - ppublish
SO  - J Invasive Cardiol. 2019 Nov;31(11):346-351.