Percutaneous mitral valve prostheses: 2019 update

European Heart Journal Supplements : Journal of the European Society of Cardiology
Barbara Bellini, Antonio Colombo

Abstract

During the last few years, there has been significant advances in the treatment of patients with severe mitral incompetence either too high risk for surgery or inoperable, this because of the improvements in percutaneous mitral valve prostheses, as alternative to the transcatheter mitral repair techniques. Percutaneous mitral valve replacement offers several advantages over the repair techniques, such as the opportunity to treat mitral valve with different anatomic characteristics, even the more complex ones, and the occasion to correct completely mitral regurgitation. The development of such prostheses has been a long process, still on the making. During the initial stages of the procedure, the transapical approach was preferred. On the other hand, the transseptal approach, which has already been used in some patients, is the proper development path for this transcatheter technique. Many valvular prostheses have been produced, each using a different mechanism for secure anchoring and elimination of regurgitation. Early mortality for this procedure, although decreasing since the preliminary studies, is still high, not only because the technology is still in its initial phase but also for the very high risk of the patients treat...Continue Reading

References

Jul 15, 2015·Circulation. Cardiovascular Interventions·Lars SøndergaardArshad Quadri
Sep 8, 2015·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Gian Paolo UssiaFrancesco Romeo
Sep 19, 2015·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Stefan VerheyeShmuel Banai
Mar 31, 2016·Lancet·Rick A NishimuraMichael J Mack
Jan 4, 2017·Journal of the American College of Cardiology·David W M MullerUNKNOWN Tendyne Global Feasibility Trial Investigators
Nov 6, 2017·Journal of the American College of Cardiology·Vinayak BapatUNKNOWN Intrepid Global Pilot Study Investigators

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Citations

Jul 2, 2021·Current Cardiology Reports·Elias RawishChristian Frerker

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Clinical Trials Mentioned

NCT03242642

Software Mentioned

SUMMIT
MitraClip
APOLLO

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