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Complex Plug-Prosthesis Interaction During Percutaneous Closure of Mitral PVL

Video supplement to “Complex Plug-Prosthesis Interaction During Percutaneous Closure of Mitral Paravalvular Leak: The Butterfly Effect,” July 2020 Clinical Images article by Melillo, et al.

Percutaneous closure is a less invasive alternative to surgical paravalvular leak closure. However, it is a technically demanding procedure that requires both careful preprocedural planning and intraprocedural guidance. 3D-TEE fluoroscopic-fusion imaging is extremely helpful for intraprocedural monitoring.


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