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Preoperative evaluation before MitraClip®: present and future perspective

Gemma Salerno1, Frank Patrick Schmidt, Maurizio Cappelli Bigazzi

  • 1Department of Cardiology, Second University of Naples, Ospedale dei Colli, Naples, Italy.

Future Cardiology
|December 16, 2014
PubMed

Insights

Mitral regurgitation (MR) management includes medical, surgical, and percutaneous options. The MitraClip system offers a promising minimally invasive approach for severe MR, with growing evidence supporting a multiparametric patient selection strategy.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Cardiac Surgery

Background:

  • Mitral regurgitation (MR) is a prevalent heart valve disease globally.
  • Current management involves medical therapy, surgery, and percutaneous interventions.
  • Many patients are not referred for surgery due to comorbidities or high surgical risk.

Purpose of the Study:

  • To review the current landscape of mitral regurgitation management.
  • To highlight the growing importance of percutaneous mitral valve repair.
  • To emphasize the potential of the MitraClip system for treating severe MR.

Main Methods:

  • Review of current medical, surgical, and percutaneous treatment strategies for MR.
  • Focus on the MitraClip system as a leading percutaneous approach.
  • Discussion on patient selection criteria for MitraClip implantation.

Main Results:

  • Percutaneous approaches, particularly MitraClip, are emerging as key treatments for severe MR.
  • A significant proportion of eligible patients are not undergoing surgery.
  • Echocardiography is standard for patient selection, but a multiparametric approach is gaining traction.

Conclusions:

  • Percutaneous mitral valve repair offers a less invasive option for severe MR.
  • The MitraClip system is a promising technology in this field.
  • A comprehensive patient assessment, including functional status, may improve selection for percutaneous mitral valve repair.

Keywords:
MitraClip® procedurecardiopulmonary exercise testechocardiographymitral regurgitationpercutaneous intervention

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