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Updated: Jul 13, 2026

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
Published on: May 26, 2023
[Percutaneous therapies for aortic and mitral valvular disease]
1Institut de cardiologie de Montréal, 5000 Rue Bélanger, Montréal. stephane.noble@hcuge.ch
Percutaneous therapies for valvular heart disease, including aortic stenosis and mitral valve disease, show promising preliminary results. These minimally invasive procedures offer new options for patients with high surgical risks.
Area of Science:
- Cardiovascular Medicine
- Interventional Cardiology
- Biomedical Engineering
Context:
- Valvular heart disease management presents challenges, particularly in elderly patients with aortic stenosis.
- High surgical risks limit treatment options for a significant portion of affected individuals.
- Percutaneous approaches are emerging as alternatives to traditional surgery.
Purpose:
- To review the current status and preliminary outcomes of percutaneous therapies for valvular heart disease.
- To highlight advancements in percutaneous aortic valve replacement and mitral valve interventions.
- To discuss the potential and limitations of these novel treatment modalities.
Summary:
- The first percutaneous aortic valve bioprosthesis was implanted in 2002, with hundreds of procedures now performed using devices like Cribier-Edwards and Corevalve.
- Preliminary results for percutaneous aortic valve interventions are encouraging.
- Percutaneous mitral valve interventions, while less developed, show potential for specific conditions like stenosis, though mitral insufficiency remains complex.
Impact:
- Percutaneous therapies offer less invasive treatment options for valvular heart disease.
- These advancements may expand treatment access for elderly patients and those with high surgical risk.
- Continued development in percutaneous mitral valve interventions could address complex mitral valve pathologies.
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