[Edge-to-edge repair : What has changed compared to the position paper in 2013?]

Area of Science:

• Cardiology
• Interventional Cardiology
• Cardiac Surgery

Background:

• Secondary mitral valve regurgitation (SMVR) management has evolved significantly.
• Previous guidelines from 2013 require updated comparison with current practices.
• Edge-to-edge repair is a key interventional technique for SMVR.

Purpose of the Study:

• To review and compare current interventional treatment strategies for SMVR with edge-to-edge repair.
• To analyze changes since the 2013 German position paper.
• To incorporate 2017 European Society of Cardiology (ESC) guidelines and recent technical developments.

Main Methods:

• Literature review of current data and guidelines.
• Comparative analysis of interventional strategies.
• Discussion of intraprocedural assessment techniques for mitral regurgitation.

Main Results:

• Significant advancements in edge-to-edge repair techniques for SMVR.
• Updated recommendations based on 2017 ESC guidelines.
• Improved intraprocedural assessment methods enhance repair outcomes.

Conclusions:

• Interventional edge-to-edge repair is a refined strategy for SMVR.
• Current guidelines and technology offer improved treatment options.
• Continuous evaluation of data and techniques is crucial for optimal patient care.