[Percutaneous transcatheter closure of prosthetic mitral and aortic paravalvular leaks]

Stumpner T
Record ID 32013000921
German
Authors' objectives: Paravalvular periprosthetic leaks (PVL) are a rare but potentially hazardous complication, which occurs in 5-17 % after cardiac valve replacement (especially in mitral valves). In 5 % of patients PVLs are symptomatic and require treatment. The present report gives and overview of the currently best available evidence of percutaneous PVL closure.
Authors' recommendations: The inclusion of percutaneous PVL closure in the hospital benefit catalogue is not recommended. Up to date, there is no evidence concerning the efficacy of percutaneous PVL-closure. Hence, percutaneous PVL-closure continues to be an experimental procedure. Furthermore, it remains unclear, if percutaneous PVL-closure is superior to palliative drug treatment in inoperable patients. Currently, we do not recommend a re-evaluation of the intervention because there are no ongoing trials registered.
Details
Project Status: Completed
Year Published: 2013
URL for published report: http://eprints.hta.lbg.ac.at/1005
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: Austria
MeSH Terms
  • Cardiac Catheterization
  • Catheter Ablation
  • Heart Valve Prosthesis Implantation
  • Heart Septal Defects, Ventricular
Contact
Organisation Name: Ludwig Boltzmann Institute for Health Technology Assessment
Contact Address: Ludwig Boltzmann Institute for fuer Health Technology Assessment (LBI-HTA), Garnisongasse 7/rechte Stiege Mezzanin (Top 20), 1090 Vienna, Austria. Tel: +43 1 236 8119 - 0 Fax: +43 1 236 8119 - 99
Contact Name: tarquin.mittermayr@aihta.at
Contact Email: office@aihta.at
Copyright: Ludwig Boltzmann Institut fuer Health Technology Assessment (LBI-HTA)
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