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Peri-procedural imaging for transcatheter mitral valve replacement

Navin Natarajan1, Parag Patel1, Thomas Bartel1

  • 11 Case Western Reserve University School of Medicine, Cleveland, OH 44106, USA ; 2 Department of Cardiovascular Medicine, 3 Department of Cardiothoracic Surgery, Heart and Vascular Institute, Cleveland Clinic, Cleveland, OH 44106, USA ; 4 Imaging Institute, Cleveland Clinic, Cleveland, OH 44106, USA.

Cardiovascular Diagnosis and Therapy
|April 8, 2016
PubMed

Insights

Mitral regurgitation (MR) affects many older adults. Transcatheter mitral valve replacement (TMVR) offers an alternative to surgery for high-risk patients, with imaging being crucial for success.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Medical Imaging

Background:

  • Mitral regurgitation (MR) is prevalent in elderly populations.
  • Degenerative and functional MR are common causes.
  • High surgical risk often precludes traditional open-heart surgery.

Purpose of the Study:

  • To review mitral valve anatomy.
  • To discuss transcatheter mitral valve replacement (TMVR) options.
  • To highlight the role of imaging in TMVR.

Main Methods:

  • Literature review of current TMVR techniques.
  • Analysis of imaging modalities for pre- and intra-procedural guidance.
  • Summary of anatomical considerations for mitral valve interventions.

Main Results:

  • TMVR is an emerging alternative for high-risk MR patients.
  • Accurate imaging is essential for successful TMVR outcomes.
  • Various TMVR devices and techniques are available.

Conclusions:

  • Transcatheter mitral valve replacement is a viable option for select patients.
  • Advanced imaging is critical for patient selection and procedural success in TMVR.
  • Further research into TMVR technologies and imaging is warranted.
Keywords:
Trans-catheter mitral valve replacement (TMVR)angiographycomputed tomographyechocardiographyimagingmagnetic resonance imaging (MRI)mitral regurgitation (MR)

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