Computed Tomography/Fluoroscopy Fusion and 3D Transesophageal Echocardiography-Guided Percutaneous Paravalvular Leak Closure

Sandra Zendjebil, MD; Livio d’Angelo, MD; Fabien Doguet, MD, PhD; Nicolas Dumont, RN; Hakim Benamer, MD; Dominique Fourchy, MD; Morad Djebbar, MD; Jérome Garot, MD, PhD; Régis Vaillant, PhD; Philippe Garot, MD

JACC: Case Reports (Jan 2023)

Computed Tomography/Fluoroscopy Fusion and 3D Transesophageal Echocardiography-Guided Percutaneous Paravalvular Leak Closure

Sandra Zendjebil, MD,
Livio d’Angelo, MD,
Fabien Doguet, MD, PhD,
Nicolas Dumont, RN,
Hakim Benamer, MD,
Dominique Fourchy, MD,
Morad Djebbar, MD,
Jérome Garot, MD, PhD,
Régis Vaillant, PhD,
Philippe Garot, MD

Affiliations

Sandra Zendjebil, MD: Institut Cardiovasculaire Paris-Sud (ICPS), Hôpital Jacques Cartier, Ramsay-Santé, Massy, France
Livio d’Angelo, MD: Institut Cardiovasculaire Paris-Sud (ICPS), Hôpital Jacques Cartier, Ramsay-Santé, Massy, France
Fabien Doguet, MD, PhD: Institut Cardiovasculaire Paris-Sud (ICPS), Hôpital Jacques Cartier, Ramsay-Santé, Massy, France
Nicolas Dumont, RN: Abbott France, Rungis, France
Hakim Benamer, MD: Institut Cardiovasculaire Paris-Sud (ICPS), Hôpital Jacques Cartier, Ramsay-Santé, Massy, France
Dominique Fourchy, MD: Institut Cardiovasculaire Paris-Sud (ICPS), Hôpital Jacques Cartier, Ramsay-Santé, Massy, France
Morad Djebbar, MD: Institut Cardiovasculaire Paris-Sud (ICPS), Hôpital Jacques Cartier, Ramsay-Santé, Massy, France
Jérome Garot, MD, PhD: Institut Cardiovasculaire Paris-Sud (ICPS), Hôpital Jacques Cartier, Ramsay-Santé, Massy, France
Régis Vaillant, PhD: General Electric Health Care, Buc, France
Philippe Garot, MD: Institut Cardiovasculaire Paris-Sud (ICPS), Hôpital Jacques Cartier, Ramsay-Santé, Massy, France; Address for correspondence: Dr Philippe Garot, Institut Cardiovasculaire Paris-Sud (ICPS), Hôpital Jacques Cartier, 6 Avenue du Noyer Lambert, 91300 Massy, France.

Journal volume & issue: Vol. 5
p. 101690

Abstract

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Percutaneous paravalvular leak closure seems a safe alternative to surgery in frail patients. However, it is a challenging procedure that should be tailored to each patient with optimal imaging guidance. Transesophageal echocardiography during the procedure and computed tomography scan/fluoroscopy fusion provide guidance for critical steps, such as PVL localization and crossing. (Level of Difficulty: Advanced.)

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

About the journal

Abstract

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