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Updated: Nov 22, 2025

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
Published on: October 16, 2021
Imaging for Native Mitral Valve Surgical and Transcatheter Interventions
Livia L Gheorghe1, Sara Mobasseri2, Eustachio Agricola3
1Department of Cardiology, St. Antonius Hospital, Nieuwegein, the Netherlands; Department of Cardiology, Puerta del Mar Hospital, Cadiz, Spain.
Advancements in transcatheter mitral regurgitation therapies require comprehensive imaging. This review updates essential imaging techniques for both surgical and transcatheter mitral valve interventions.
Area of Science:
- Cardiology
- Medical Imaging
Background:
- Transcatheter therapies for mitral regurgitation are rapidly advancing.
- This progress necessitates a deep understanding of mitral valve anatomy for imaging specialists.
Purpose of the Study:
- To provide an update on essential interventional imaging for mitral regurgitation interventions.
- To highlight the evolving role of various imaging modalities in procedural planning and execution.
Main Methods:
- Review of current literature and practices in interventional imaging for mitral regurgitation.
- Discussion of echocardiography, cardiac computed tomography, cardiac magnetic resonance, and advanced imaging techniques.
Main Results:
- Echocardiography remains central, with principles extending to transcatheter interventions.
- Cardiac computed tomography and cardiac magnetic resonance are crucial for procedural planning.
- Advanced techniques like 3D transesophageal echocardiography and image fusion are increasingly utilized.
Conclusions:
- Interventional imaging for mitral regurgitation is adapting to new transcatheter technologies.
- A modality-agnostic approach and integration of advanced imaging are key to successful outcomes.
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