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A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
Published on: October 16, 2021
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Transcatheter mitral valve therapies.
Om Prakash Yadava1, Vinayak Bapat2,3
1National Heart Institute, New Delhi, India.
Indian Journal of Thoracic and Cardiovascular Surgery
|October 16, 2020
Summary
Transcatheter mitral valve replacement shows slow development. Experts discuss challenges and debate mitral valve repair versus replacement, but anticipate future percutaneous options for secondary mitral regurgitation.
Area of Science:
- Cardiovascular medicine
- Interventional cardiology
- Medical technology
Background:
- Transcatheter mitral valve interventions are developing slower than aortic interventions.
- Debates persist regarding mitral valve repair versus replacement strategies.
- The role of percutaneous MitraClip in mitral valve interventions remains a key discussion point.
Purpose of the Study:
- To discuss the challenges and current status of transcatheter mitral valve replacement (TMVR).
- To highlight the differences between transcatheter aortic and mitral valve interventions.
- To explore the future potential of percutaneous options for secondary mitral regurgitation.
Main Methods:
- Expert discussion and opinion sharing between Dr. O.P. Yadava and Dr. V. Bapat.
- Analysis of current debates in interventional cardiology concerning mitral valve disease.
- Review of technological advancements and their impact on transcatheter procedures.
Main Results:
- Significant challenges hinder the development and adoption of TMVR.
- Key differences exist between transcatheter aortic valve replacement (TAVR) and TMVR.
- Ongoing debate surrounds mitral valve repair versus replacement and the utility of MitraClip.
Conclusions:
- Technological evolution is crucial for advancing percutaneous mitral valve interventions.
- Future percutaneous options for secondary mitral regurgitation are anticipated.
- Further research and clinical trials are needed to establish the role of TMVR.
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