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Updated: May 21, 2026

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
Published on: October 16, 2021
Step-by-Step Intravascular Lithotripsy-Assisted Balloon Valvuloplasty for Calcific Mitral Valve Stenosis
Travis M Howard1, Nguyen T Nguyen1, Luis H Paz Rios1
1NCH Rooney Heart Institute, Naples, Florida, USA.
Intravascular lithotripsy-facilitated percutaneous balloon mitral valvuloplasty (PBMV) offers a novel approach for severe calcific mitral stenosis. This technique may provide a feasible and safe option for high-risk patients lacking other transcatheter solutions.
Area of Science:
- Cardiology
- Interventional Cardiology
- Medical Devices
Background:
- Severe calcific mitral stenosis presents significant treatment challenges, particularly for high-risk or inoperable patients.
- Percutaneous balloon mitral valvuloplasty (PBMV) is an option but carries risks, including valvular injury, regurgitation, and embolism.
- Intravascular lithotripsy (IVL) has emerged as a novel adjunctive therapy to enhance PBMV effectiveness and safety.
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