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[Percutaneous treatment of mitral regurgitation]

C Delhomme1, N Tence1, N Karam2

  • 1Département de cardiologie, hôpital européen Georges-Pompidou, AP-HP, Paris, France; Université Paris Descartes, Paris, France.

Annales De Cardiologie Et D'Angeiologie
|October 27, 2019
PubMed

Insights

Severe mitral regurgitation (MR) affects many, with half denied surgery due to risks. Percutaneous edge-to-edge repair offers a vital alternative for high-risk patients, as reviewed in this article.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Cardiac Surgery

Background:

  • Mitral regurgitation (MR) is the most prevalent valvular heart disease and the second most operated valve in Europe.
  • Approximately 50% of patients with severe MR are not candidates for surgery due to comorbidities or advanced age, despite poor prognosis.

Observation:

  • Percutaneous treatments for MR, including repair and replacement, have emerged as alternatives for high-risk surgical patients.
  • Percutaneous edge-to-edge repair is the predominant technique and is endorsed by European Guidelines for Valvular Heart Disease Management.

Findings:

  • This review examines various MR repair strategies.
  • It details the indications and evidence supporting these percutaneous interventions.

Implications:

  • Percutaneous MR repair expands treatment options for patients previously denied surgical intervention.
  • These minimally invasive techniques offer a viable solution for managing severe MR in high-risk populations.
  • The review provides crucial insights into current evidence and guidelines for percutaneous MR repair.

Keywords:
Fuite MitraleMitral regurgitationMitral repairMitral replacementPercutaneous treatmentRemplacement mitralRéparation mitraleTraitement percutané

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