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Related Concept Videos

Cardiac Catheterization I: Pre-Procedure Overview01:28

Cardiac Catheterization I: Pre-Procedure Overview

Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
Mitral Stenosis III: Medical Management01:26

Mitral Stenosis III: Medical Management

Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
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Pericarditis III: Medical Management

The primary objectives of managing pericarditis are to determine the underlying cause, provide effective therapy for treatment and symptom relief, and promptly detect signs and symptoms of cardiac tamponade. The following outlines the essential aspects of medical management for pericarditis:ObjectivesDetermine the Cause: Identifying the underlying cause of pericarditis is crucial for targeted treatment. Causes include viral infections, autoimmune diseases, post-cardiac injury syndrome, and...
Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
Mitral Stenosis IV: Nursing Management01:27

Mitral Stenosis IV: Nursing Management

A comprehensive nursing assessment is essential for patients with valvular heart disease, which involves any dysfunction of the heart valves that could impact blood flow and overall heart function.Subjective Data Collection:Chief Complaint and Present Illness: Start with the patient's primary concerns, focusing on the onset, duration, and progression of cardiac symptoms such as dyspnea, fatigue, chest pain, and palpitations.Past Medical History: Collect detailed information on any previous...
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...

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Current status of percutaneous valvular procedures.

Dominique Himbert1, Eric Brochet, David Messika-Zeitoun

  • 1Department of Cardiology, CHU Bichat Claude Bernard, AP-HP, 46 rue Henri Huchard, 75015, Paris, France, dominique.himbert@bch.aphp.fr.

Current Treatment Options in Cardiovascular Medicine
|September 18, 2010
PubMed
Summary

New percutaneous procedures offer promising treatments for mitral stenosis and aortic stenosis, evolving from established mitral commissurotomy. Further evaluation is needed to confirm their effectiveness and safety compared to existing therapies.

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Area of Science:

  • Cardiovascular Medicine
  • Interventional Cardiology
  • Medical Technology

Background:

  • Percutaneous mitral commissurotomy is a well-established treatment for mitral stenosis.
  • Percutaneous balloon aortic valvuloplasty has shown limited efficacy and is largely abandoned.
  • Mitral regurgitation and aortic stenosis are prevalent valve diseases in industrialized nations.

Purpose of the Study:

  • To review the current status and future potential of percutaneous valvular procedures.
  • To highlight emerging percutaneous techniques for mitral regurgitation and aortic stenosis.
  • To discuss the collaborative efforts required for evaluating new percutaneous valve interventions.

Main Methods:

  • Review of established percutaneous mitral commissurotomy.
  • Discussion of percutaneous aortic valvuloplasty limitations.
  • Overview of novel percutaneous mitral valve techniques (edge-to-edge, ring annuloplasty).
  • Examination of percutaneous aortic valve replacement in compassionate use cases.

Main Results:

  • Percutaneous mitral commissurotomy has demonstrated good results in thousands of patients.
  • New percutaneous mitral valve treatments show feasibility but require further comparative evaluation.
  • Percutaneous aortic valve replacement in end-stage aortic stenosis offers hemodynamic and clinical improvement with acceptable risk.

Conclusions:

  • Percutaneous mitral commissurotomy is a successful treatment for mitral stenosis.
  • Emerging percutaneous mitral and aortic valve therapies hold significant future potential.
  • Close collaboration among specialists is crucial for advancing percutaneous valve interventions.