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Updated: May 21, 2026

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
08:31

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.

JACC. Case Reports
|May 20, 2026
PubMed

Insights

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.
Abstract

Keywords:
3-dimensional imagingechocardiographyhybrid imagingmitral valvetreatmentvalve repair

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