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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 Replacement: An Update on Current Techniques, Technologies, and Future Directions
Mark Hensey1, Richard A Brown2, Sudish Lal3
1Department of Cardiology, Saint James's Hospital, Dublin, Ireland.
JACC. Cardiovascular Interventions
|March 5, 2021
Summary
Transcatheter mitral valve replacement shows promise for treating mitral valve disease, offering sustained reduction in regurgitation. Further device development is needed for broader patient application.
Area of Science:
- Cardiovascular Medicine
- Interventional Cardiology
- Medical Device Technology
Background:
- Significant mitral valve disease is increasingly treated with transcatheter therapies.
- Transcatheter edge-to-edge repair is the current standard but not suitable for all anatomies.
Purpose of the Study:
- To highlight the potential of transcatheter mitral valve replacement (TMVR) as a therapeutic option.
- To emphasize the need for a diverse range of transcatheter mitral valve devices.
Main Methods:
- Review of current clinical data and device capabilities in transcatheter mitral valve interventions.
- Comparative analysis of transcatheter mitral valve repair versus replacement.
Main Results:
- Transcatheter mitral valve replacement may offer superior and more durable reduction of mitral regurgitation compared to repair.
- Certain patient anatomies remain unsuitable for current transcatheter repair techniques.
Conclusions:
- Transcatheter mitral valve replacement presents a valuable alternative for mitral valve disease treatment.
- A comprehensive armory of transcatheter devices, including replacement systems, is essential for addressing diverse patient needs.
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