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Updated: Jan 3, 2026

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
Published on: October 16, 2021
Transcatheter mitral valve-in-valve implantation: Advanced intraprocedural imaging in challenging hybrid procedures
Paul Werner1, Marco Russo2, Günther Laufer3
1Division of Cardiac Surgery Medical University of Vienna Vienna Austria.
Abstract:
This video tutorial is a guide to transfemoral, transcatheter mitral valve-in-valve implantation using advanced preoperative planning and intraprocedural fusion imaging. We demonstrate mitral valve-in-valve implantation in a patient after surgical bioprosthetic replacement of the mitral valve, with severe restenosis and elevated surgical risk, and we discuss preoperative planning and work-up using advanced imaging software.. The procedure itself is documented in a step-by-step fashion for every important phase of the intervention. Finally, we present the postoperative result after successful implantation and provide a brief discussion of the key points of the case and procedure.
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