Paravalvular leak (PVL) is a serious complication after surgical valve replacement or after transcatheter aortic valve replacement. Approximately 1–5% of PVLs can lead to serious clinical consequences, including congestive heart failure and/or haemolytic anaemia.

Paravalvular Leak Closure (PVLO)

Dr Mike Mullen (Barts Heart Centre)

under General Anaesthetic

TOE guided (Transoephageal Echocardiography)

8F Femoral sheath

14F Femoral sheath

6F MPA diagnostic catheter

7Fr Flexor Check-Flo 110cm sheath

150cm guidewire

Terumo 260cm Straight wire

Confida guidewire

For MITRAL PVL:        

BRK (71cm) Transseptal needle

SL1 Transseptal guiding introducer

Agilis medium curl (71cm length)

3-way tap

20mL luerlok syringe

2 pressure lines

Backstop

500mL NSS + spike