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Updated: Jul 12, 2026
08:31
A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
Published on: October 16, 2021
Outpatient Guidance and 1-Year Physical Function After Mitral Valve Transcatheter Edge-to-Edge Repair: An Exploratory
Yuri Kamijo1, Yoshifumi Abe1,2, Shiori Mori1
1Department of Rehabilitation, Mitsui Memorial Hospital Tokyo Japan.
Circulation Reports
|July 10, 2026
Summary
Structured post-discharge programs, including outpatient guidance, may improve physical function and daily living activities after transcatheter mitral valve repair. This guidance showed better outcomes at one year.
Area of Science:
- Cardiology
- Geriatrics
- Rehabilitation Medicine
Background:
- Limited evidence exists for structured post-discharge programs enhancing long-term physical function and activities of daily living (ADL) after transcatheter mitral valve edge-to-edge repair.
- Transcatheter mitral valve edge-to-edge repair is a growing procedure, necessitating effective rehabilitation strategies.
Purpose of the Study:
- To evaluate the impact of a structured post-discharge guidance program on long-term functional outcomes in patients after transcatheter mitral valve edge-to-edge repair.
- To compare physical function and ADL in patients receiving versus not receiving outpatient guidance.
Main Methods:
- A single-center cohort study compared patients receiving outpatient guidance at 3 and 6 months (n=34) with a control group receiving no guidance (n=11).
- Functional outcomes including Short Physical Performance Battery (SPPB), Barthel Index, and 5-times Sit-to-Stand test (5-STS) were assessed at 1 year.
Main Results:
- The guidance group demonstrated significantly higher SPPB scores (12 vs. 8, P=0.034) at 1 year.
- Patients receiving guidance also showed a higher Barthel Index (100 vs. 95, P=0.008) and a shorter 5-STS time (8.1 vs. 14.5 s, P=0.002).
Conclusions:
- Outpatient guidance following transcatheter mitral valve edge-to-edge repair was associated with improved physical function and ADL at one year.
- While promising, these findings are hypothesis-generating and warrant further investigation in larger, prospective studies.
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