Percutaneous transfemoral-transseptal implantation of a second-generation CardiAQ™ mitral valve bioprosthesis: first procedure description and 30-day follow-up

EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology
Gian Paolo UssiaFrancesco Romeo

Abstract

Transcatheter mitral valve implantation for mitral valve regurgitation is in the very early phase of development because of challenging anatomy and device dimensions. We describe the procedure of a transfemoral-transseptal implantation of the second-generation CardiAQ™ mitral valve bioprosthesis and 30-day follow-up. The procedure was performed percutaneously, without any left extracorporeal circulatory support. The patient had severe mitral regurgitation with severely depressed ventricular function and other comorbidities. The patient was deemed extreme high risk for conventional cardiac surgery by a multidisciplinary team. The main procedural steps were the creation of an arteriovenous loop with an exchange nitinol wire, and the use of a customised "steerable snare system" to facilitate the catheter delivery system into the mitral annulus. Transoesophageal echocardiography and fluoroscopy were utilised for device positioning and deployment. The mitral valve prosthesis was implanted with mild mitral regurgitation. The postoperative course was uneventful and at 30-day follow-up the patient is in NYHA Class I, with good function of the mitral valve bioprosthesis. This procedure shows that percutaneous transfemoral transcatheter ...Continue Reading

References

Jul 15, 2015·Circulation. Cardiovascular Interventions·Lars SøndergaardArshad Quadri

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Citations

Sep 19, 2016·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Maurizio TaramassoFrancesco Maisano
Dec 23, 2016·JACC. Cardiovascular Interventions·Mohamad AlkhouliDavid R Holmes
Mar 15, 2018·Journal of Cardiovascular Medicine·Antonio Colombo, Nicola Buzzatti
Sep 28, 2018·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Giuseppe PattiGian P Ussia
Sep 6, 2019·Herz·J VogelhuberG Nickenig
Jul 28, 2018·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Klaas LogerSaskia Pokorny
Aug 10, 2019·Cardiovascular Intervention and Therapeutics·Noriaki TabataJan-Malte Sinning
Jun 19, 2019·Current Treatment Options in Cardiovascular Medicine·Stephanie C El Hajj, Mackram F Eleid
Sep 13, 2019·Circulation. Cardiovascular Interventions·Torsten P VahlJuan F Granada
Aug 24, 2019·Journal of the American Heart Association·David Del ValJosep Rodés-Cabau
Jun 12, 2020·European Heart Journal Supplements : Journal of the European Society of Cardiology·Barbara Bellini, Antonio Colombo
Sep 25, 2017·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Amisha Patel, Vinayak Bapat
May 18, 2018·Current Cardiology Reports·Matteo SaccocciFrancesco Maisano
Sep 25, 2017·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Dinesh NatarajanBernard Prendergast
Sep 13, 2019·Circulation. Cardiovascular Interventions·Thomas ModineJuan F Granada

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