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Multivalvular Disease: Percutaneous Management in 2019 and Beyond

Magdalena Erlebach1,2, Rüdiger Lange1,2

  • 1Department of Cardiovascular Surgery, German Heart Centre Munich, Germany.

Interventional Cardiology (London, England)
|December 24, 2019
PubMed

Insights

Multivalvular disease (MVD) presents complex challenges due to multiple valve defects. This article explores percutaneous treatment options for these challenging MVD cases.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Cardiac Surgery

Background:

  • Multivalvular disease (MVD) is prevalent and characterized by diverse, interacting valve pathologies.
  • Current clinical trials and guidelines predominantly address single-valve disease, lacking specific recommendations for MVD.
  • The complexity of MVD necessitates tailored treatment strategies beyond single-valve disease management.

Purpose of the Study:

  • To provide an overview of percutaneous treatment possibilities for patients with multivalvular disease.
  • To address the unmet need for evidence-based recommendations in MVD management.
  • To highlight interventional approaches for complex cardiac valve conditions.

Main Methods:

  • Review of current literature on percutaneous interventions for valvular heart disease.
  • Analysis of case studies and procedural outcomes in MVD patients.
  • Synthesis of expert opinions and emerging techniques in interventional cardiology for MVD.

Main Results:

  • Percutaneous options are emerging as viable alternatives for select MVD patients.
  • Interactions between diseased valves can influence procedural choice and outcomes.
  • Successful percutaneous treatment requires careful patient selection and procedural planning.

Conclusions:

  • Percutaneous interventions offer promising therapeutic avenues for multivalvular disease.
  • Further research is needed to establish standardized guidelines for MVD percutaneous treatment.
  • Individualized treatment strategies are crucial for optimizing outcomes in MVD patients.

Keywords:
Multivalvular diseaseinterventiontranscatheter aortic valve implantationtranscatheter mitral valve repair

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