The influence of a percutaneous mitral repair program on surgical mitral valve volume

The Journal of Thoracic and Cardiovascular Surgery
Emily A DownsGorav Ailawadi

Abstract

Percutaneous mitral repair with the MitraClip system (Abbott Vascular, Santa Clara, Calif) has been available in trials since 2006 and is currently approved for patients with degenerative mitral valve disease at prohibitive risk for surgery. There has been concern that novel transcatheter approaches may detract from mitral valve surgical volumes. We sought to evaluate the influence of our MitraClip program on our surgical mitral valve volumes and outcomes. All patients referred for MitraClip underwent evaluation by a multidisciplinary team. Patients were screened for surgical candidacy and suitable valve anatomy for transcatheter repair. The fate of patients referred for MitraClip as well as the overall surgical mitral volumes and outcomes were evaluated. From July 2007 to December 2014, 468 patients were referred for the MitraClip procedure at our institution. Of these, 156 patients (33.3%) received a MitraClip (including 45 implanted by surgeons), whereas 82 patients (17.5%) underwent surgical interventions. During this timeframe, the volume of isolated mitral valve operations increased from 50 procedures in 2007 to 93 in 2014 (80% increase; R(2) = 0.89). Importantly, operative mortality for all patients undergoing isolated m...Continue Reading

References

Oct 3, 2001·The Journal of Thoracic and Cardiovascular Surgery·O AlfieriG La Canna
Jan 29, 2014·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Maurizio TaramassoOttavio Alfieri
Apr 24, 2014·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Vincenzo DuinoHüseyin Ince
May 16, 2014·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Carl L TommasoEmile A Bacha

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Citations

Apr 7, 2020·Journal of the American Heart Association·Hiroki NiikuraPaul Sorajja
May 2, 2018·Intensive Care Medicine·Anders AnemanMichael Vallely
Mar 24, 2021·Journal of the American Heart Association·Mohamad AlkhouliJuan A Crestanello
Sep 18, 2021·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Francesco MaisanoMaurizio Taramasso

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