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[Cardioband®: Where do we stand, who are suitable patients?]
C Frerker1, T Schmidt2, R Pfister2
1Klinik III für Innere Medizin, Herzzentrum Uniklinik Köln, Kerpener Str. 62, 50937, Köln, Deutschland. Christian.Frerker@gmail.com.
The Cardioband® system offers a safe and effective catheter-based treatment for functional mitral regurgitation (FMR) caused by annular dilatation. This direct annuloplasty procedure demonstrated high technical success and favorable survival rates at one year.
Area of Science:
- Cardiovascular Medicine
- Interventional Cardiology
- Medical Devices
Background:
- Functional mitral regurgitation (FMR) involves mitral valve annulus dilatation, leading to leaflet malcoaptation or tethering.
- Left ventricular dilatation is a common cause of FMR.
Purpose of the Study:
- To evaluate the safety and efficacy of the Cardioband® system for treating FMR.
- To assess the technical success and clinical outcomes of catheter-based direct mitral annuloplasty.
Main Methods:
- A European CE approval study analyzed 60 patients with moderate to severe FMR.
- The Cardioband® system, a catheter-based device, was used for direct mitral annuloplasty.
Main Results:
- The procedure achieved a 97% technical success rate (implantation and tightening).
- No device or procedure-related deaths occurred.
- One-year outcomes included 87% overall survival and 66% survival free of heart failure hospital readmission.
Conclusions:
- Direct annuloplasty with the Cardioband® system is a viable option for patients with FMR due to mitral annulus dilatation.
- The procedure is safe and effective, with promising one-year clinical results.
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