Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. May 6, 2022; 10(13): 4236-4241
Published online May 6, 2022. doi: 10.12998/wjcc.v10.i13.4236
EchoNavigator virtual marker and Agilis NxT steerable introducer facilitate transseptal transcatheter closure of mitral paravalvular leak
Jung-Cheng Hsu, Chong-Sun Khoi, Shan-Hui Huang, Yi-Yao Chang, Shu-Lu Chen, Yen-Wen Wu
Jung-Cheng Hsu, Shan-Hui Huang, Yi-Yao Chang, Shu-Lu Chen, Yen-Wen Wu, Division of Cardiology, Department of Medicine, Far Eastern Memorial Hospital, New Taipei City 220216, Taiwan
Jung-Cheng Hsu, General Education Center, Lunghwa University of Science and Technology, Taoyuan City 333026, Taiwan
Chong-Sun Khoi, Department of Anesthesiology, Far Eastern Memorial Hospital, New Taipei City 220216, Taiwan
Author contributions: Hsu JC and Wu YW were the patient’s cardiologists, reviewed the literature and contributed to manuscript drafting; Khoi CS was the interventional echocardiographer who performed the transesophageal echocardiography during the procedure, and contributed to illustrations and manuscript drafting; Huang SH and Chang YY were also cardiologists who performed the follow-up transthoracic echocardiography for the patient and contributed to manuscript drafting. Cheng SL provided technical assistance during the procedure and contributed to the literature review; all authors issued final approval for the version to be submitted. No competing interests were disclosed by any author.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jung-Cheng Hsu, MD, Attending Doctor, Division of Cardiology, Department of Medicine, Far Eastern Memorial Hospital, No. 21, Sec. 2, Nanya S. Rd., Banqiao Dist., New Taipei City 220216, Taiwan. jungchenghsu@gmail.com
Received: October 5, 2021
Peer-review started: October 5, 2021
First decision: January 11, 2022
Revised: January 20, 2022
Accepted: March 16, 2022
Article in press: March 16, 2022
Published online: May 6, 2022
Core Tip

Core Tip: The transcatheter closure of paravalvular leak (PVL) is technically demanding and can be time consuming. Transseptal transcatheter closure of mitral PVL can be performed efficiently using the EchoNavigator virtual marker (fusion imaging) and Agilis NxT steerable introducer.