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Mitral valve anatomy: pre-procedural screening and imaging techniques.

Ariana González-Gómez1, Sara Fernández-Santos, Covadonga Fernández-Golfín

  • 1University Hospital Ramón y Cajal, Madrid, Spain.

Eurointervention : Journal of Europcr in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology
|September 19, 2015
PubMed
Summary

Mitral regurgitation affects many older adults. Percutaneous repair techniques like MitraClip offer treatment for inoperable patients, but require careful evaluation using echocardiography.

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Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Medical Devices

Background:

  • Mitral regurgitation (MR) is a significant cause of illness and death, particularly in aging populations.
  • Surgical options for MR are limited in elderly or high-risk patients.
  • Percutaneous mitral valve repair offers an alternative treatment modality.

Purpose of the Study:

  • To highlight the role of percutaneous mitral valve repair in managing mitral regurgitation.
  • To emphasize the importance of preoperative assessment for these complex interventions.
  • To discuss the MitraClip as a leading percutaneous repair technique.

Main Methods:

  • Review of current percutaneous mitral valve repair techniques.
  • Focus on the MitraClip device and its application.
  • Emphasis on the critical role of echocardiography in patient selection and procedural guidance.

Main Results:

  • Percutaneous techniques provide treatment options for patients unsuitable for surgery.
  • Anatomical variations and technical challenges are inherent to mitral valve repair.
  • Successful MitraClip implantation relies on meticulous pre-procedural evaluation.

Conclusions:

  • Mitral regurgitation management is evolving with percutaneous options.
  • Careful patient selection using echocardiography is paramount for successful MitraClip intervention.
  • These techniques expand treatment possibilities for a growing patient demographic.