CSI Focus Workshop

paravalvar leakS

SATURday, june 25, 2022

Paravalvar leak occurs after both surgical and transcatheter valve replacement/implantation. It affects all valves and can lead to haemolysis, heart failure and may increase the risk of endocarditis. Understanding the role of multimodality imaging in defining the complex anatomy, position and size of the defect is an essential part of procedural success. Defect location and shape can present challenges to crossing the defect and demands an appreciation of techniques. In particular, pre-procedure planning for access route is useful to improve procedure success and further optimise outcomes. Recently, dedicated devices had been developed and got approval.

CSI Focus Paravavar leaks will cover topical issues for clinicians including multimodality imaging and procedural planning for mitral, aortic and right heart paravalvar leaks. We will discuss the benefits and disadvantages of available devices as well as an approach with multiple devices. The program will include lectures from leading experts, debates, challenging case presentations, live case transmissions, case based discussions exploring potential complications and closure of unusual paravalvar leaks with tips and tricks from experienced operators.




Multimodality imaging
Live case transmission from Hammersmith Hospital, London, United Kingdom
How to treat paravalvar leaks: close or not, always transcatheter?
Pre-procedure planning step by step: role of CT

Patient specific modeling for paravalvar leak closure (3D printing and digital modeling)

TOE assessment before and during procedure 

Methods for device sizing (TOE, CT, fluoroscopy)

Peri-procedure guidance: fusion imaging

When and how to follow-up
Procedural tips and tricks
Live case transmission from CardioVascular Center Frankfurt CVC, Frankfurt, Germany

Planning the approach: 

  • Mitral paravalvar leaks 
  • Aortic paravalvar leaks
  • Right heart paravalvar leaks 
Approach with multiple devices 


  • Why I prefer Occlutech
  • Why I prefer AVP
  • When I might use a VSD, ASD, PDA device 
Devices, complications & esoteric uses
Live case transmission from Our Lady's Children's Hospital, Dublin, Ireland

Potential complications during a case of:

  • Valve migration
  • Device embolization
  • Haemolysis
  • Non-fenestrated device

Closure of unusual paravalvar leaks

  • Leaflet perforation
  • Patch dehiscence


This workshop is part of CSI Frankfurt 2022, the leading conference on catheter interventions in congenital, structural and valvar heart disease and heart failure, which will take place June 22-25, 2022 in Frankfurt, Germany. Drop in for the day, or join us for the full 4-day program providing a comprehensive overview of the field presented by experts and key opinion leaders from all over the world.