Related Experiment Video
Updated: Oct 24, 2025
08:31
A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
Published on: October 16, 2021
4.1K
Current devices and interventions in mitral regurgitation.
Benedikt Koell1,2, Daniel Kalbacher1,2, Edith Lubos3,4,5
1Department of Cardiology, University Heart & Vascular Center Hamburg, Hamburg, Germany.
Herz
|August 16, 2021
Summary
Transcatheter mitral regurgitation (MR) therapies offer alternatives to surgery for aging patients. This review explores evolving interventional treatments for MR, including edge-to-edge repair and valve implantation.
Area of Science:
- Cardiology
- Interventional Cardiology
- Valvular Heart Disease
Background:
- Mitral regurgitation (MR) is the most common valvular heart disease, with increasing prevalence in aging populations.
- High surgical risk in elderly patients with comorbidities drives the need for less invasive treatments.
- Transcatheter therapies are emerging as crucial alternatives to drug or surgical interventions for MR.
Purpose of the Study:
- To review the current landscape of transcatheter therapies for mitral regurgitation.
- To highlight the evolution and expanding options for interventional MR treatment.
- To discuss patient-oriented therapeutic strategies for diverse MR pathologies.
Main Methods:
- Review of current literature on transcatheter mitral regurgitation therapies.
- Discussion of established and emerging interventional techniques.
- Analysis of treatment options for primary and secondary MR.
Main Results:
- Transcatheter mitral valve repair (e.g., edge-to-edge repair) is a well-established treatment.
- Direct/indirect annuloplasty and transcatheter mitral valve implantation are expanding treatment options.
- A broad spectrum of interventional therapies allows for individualized patient treatment.
Conclusions:
- Transcatheter therapies are increasingly important for managing mitral regurgitation in high-risk patients.
- The evolving armamentarium of interventional procedures provides tailored solutions for MR.
- Interventional cardiology offers patient-centered approaches to address various MR pathologies.
Keywords:
Mitral valve insufficiencyStructural heart diseaseTranscatheter mitral valve implantationTranscatheter mitral valve repairTranscatheter therapyMore Related Videos
Related Concept Videos
01:25Mitral Regurgitation III: Medical Management
61
Mitral regurgitation (MR) is characterized by retrograde blood circulation from the left ventricle into the left atrium due to inadequate mitral valve closure. The severity of the condition, symptoms, and underlying cause determine treatment strategies.Monitoring and Pharmacological TreatmentPatients with mild to moderate MR typically do not need immediate intervention but regular monitoring to assess progression and guide treatment. Patients with mild MR should have an echocardiogram every 3-5...
61
01:28Mitral Regurgitation IV: Nursing Management
128
Mitral regurgitation (MR) is a condition where the mitral valve does not close properly, leading to the backward flow of blood from the left ventricle into the left atrium during systole. This condition can arise from various causes, including rheumatic fever, infective endocarditis, or degenerative valve disease. Effective nursing management is crucial to optimizing patient outcomes and involves comprehensive assessment and targeted interventions.Comprehensive Patient AssessmentA detailed...
128
01:26Mitral Stenosis III: Medical Management
55
Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
55
01:23Mitral Regurgitation II: Clinical Features and Diagnostic Tests
88
Mitral regurgitation (MR) is a valvular heart disorder in which the mitral valve fails to close tightly, allowing blood to leak backward into the heart. Understanding the clinical manifestations, assessment, diagnostic findings, and medical management of MR is crucial to effectively managing affected patients.Clinical Manifestations of Mitral RegurgitationMitral regurgitation can be acute or chronic, each presenting differently and requiring different approaches:1. Acute Mitral...
88
01:22Mitral Valve Prolapse II: Assessment and Management
78
IntroductionA range of clinical features characterizes Mitral Valve Prolapse (MVP), but it is important to note that many individuals with MVP are asymptomatic and may remain so throughout their lives. For those who do exhibit symptoms, the following are the key clinical features:Palpitations: This is a common symptom where individuals feel an irregular or rapid heartbeat. Palpitations in MVP are often due to arrhythmias such as premature ventricular contractions or supraventricular...
78
01:20Mitral Regurgitation I: Introduction
95
Mitral regurgitation is characterized by the backward circulation of blood from the left ventricle to the left atrium during systole, a phase of the cardiac cycle when the heart contracts and pumps blood out of the chambers. This abnormal flow occurs primarily due to the dysfunction of the mitral valve or its supporting structures, which include the mitral leaflets, chordae tendineae, annulus, and papillary muscles.Etiology and Mechanisms:Primary Mitral Regurgitation: This type arises from...
95