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Updated: Jun 3, 2026

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
Published on: October 16, 2021
Contemporary application of cardiovascular hemodynamics: transcatheter mitral valve interventions
Hasan Jilaihawi1, Raj Makkar, Asma Hussaini
1Cedars-Sinai Heart Institute, Cedars-Sinai Medical Center, 8700 Beverly Boulevard, Los Angeles, CA 90048, USA.
Abstract:
Since the development and refinement of echocardiography, this technique has, for some time, been the mainstay for hemodynamic assessment of the mitral valve. This article discusses the key components of the invasive hemodynamic assessment of mitral valve disease and illustrates their utility through percutaneous transluminal mitral valvuloplasty for mitral stenosis and the novel transcatheter mitral valve repair using the MitraClip for mitral regurgitation. Changes in left atrial pressure and waveform, mean gradient, and cardiac output are critical assessment parameters for both safety and efficacy. Invasive hemodynamic assessment is an essential complement to echocardiography for the optimal guidance of these procedures.
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