Mechanism and Severity of Mitral Regurgitation by Transesophageal Echocardiography in Patients Referred for Percutaneous Valve Repair

Grayburn, Paul A.; Roberts, Bradley J.; Aston, Susan; Anwar, Azam; Hebeler, Robert F.; Brown, David L.; Mack, Michael J.

doi:10.1016/j.amjcard.2011.05.013

Cited by 36 publications

(16 citation statements)

References 29 publications

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“…In fact, up to one-third of patients screened for MitraClip are declined because of unfavorable anatomy, including annular dilatation. 34 Transcatheter annuloplasty may In this procedure, a deflectable catheter is advanced retrogradely to the left ventricle and using radiofrequency energy the guidewires penetrate the mitral annulus into the left atrium (C), whereby pairs of pledgets are implanted in the posterior mitral annulus near the A1-P1 and A3-P3 target points (D). Each pledget pair can be pulled together, resulting in a segmental posterior annuloplasty (E).…”

Section: Mitral Annuloplastymentioning

confidence: 99%

Current Status and Clinical Development of Transcatheter Approaches for Severe Mitral Regurgitation

Grasso

Capodanno

Tamburino

et al. 2015

Circ J

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Transcatheter mitral valve intervention has emerged as an effective treatment option for symptomatic severe mitral regurgitation in patients considered to be inoperable or at high operative risk for surgical mitral valve surgery. Most transcatheter approaches are modifications of existing surgical approaches. Transcatheter edge-to-edge mitral valve repair with the MitraClip system has the largest clinical experience to date, as it offers a sustained clinical benefit in selected patients. This review aims to provide an up-to-date overview of transcatheter mitral valve interventions, including leaflet repair, annuloplasty, and mitral valve implantation. (Circ J 2015; 79: 1164 -1171

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Section: Mitral Annuloplastymentioning

confidence: 99%

Current Status and Clinical Development of Transcatheter Approaches for Severe Mitral Regurgitation

Grasso

Capodanno

Tamburino

et al. 2015

Circ J

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“…In addition, the lack of a reliable annuloplasty device is impacting the eligibility for transcatheter interventions. Up to a third of patients screened for MitraClip are refused due to unfavorable anatomy, including annular dilatation 29. Transcatheter annuloplasty may therefore both improve outcomes and expand therapeutic indications.…”

Section: Annuloplasty Proceduresmentioning

confidence: 99%

Mitral Transcatheter Technologies

Buzzatti¹,

Taramasso²,

Alfieri³

2013

RMMJ

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Mitral valve regurgitation (MR) is often diagnosed in patients with heart failure and is associated with worsening of symptoms and reduced survival. While surgery remains the gold standard treatment in low-risk patients with degenerative MR, in high-risk patients and in those with functional MR, transcatheter procedures are emerging as an alternative therapeutic option. MitraClip® is the device with which the largest clinical experience has been gained to date, as it offers sustained clinical benefit in selected patients. Further to MitraClip implantation, several additional approaches are developing, to better match with the extreme variability of mitral valve disease. Not only repair is evolving, initial steps towards percutaneous mitral valve implantation have already been undertaken, and initial clinical experience has just started.

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“…Specifically Tables 1 and 2 [1][2][3][4][5][6][22][23][24][25][26]. It is important to underline that in reality not all of the criteria are necessary for a correct application of the mitral clip, but there are parameters that are essential (necessary), others which are assessed by the surgical team (important), and those of little relevance (NO).…”

Section: Construction Of the Data Basementioning

confidence: 99%

Hospital-based health technology assessment on the use of mitral clips in the treatment of mitral regurgitation

Miniati

Cecconi

Dori

et al. 2013

THC

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BACKGROUND: This study, carried out at the Florence Teaching Hospital Careggi (AOUC), reports the technological evaluation, through the use of Health Technology Assessment (HTA), on the application of mitral clips in the treatment of mitral insufficiency. OBJECTIVE: The assessment, carried out by analyzing the clinical, technological, social, procedural, safety and economic elements, sought to answer the following research questions: Evaluation of the general technological status of the mitral clips in the treatment process of mitral regurgitation, with particular reference to traditional methods; and contextualisation of the analyses within the hospital structure, by identifying criticality issues and improvements. R. Miniati et al. / Hospital-based health technology assessment on the use of mitral clipsCONCLUSION: The HTA evaluation of minimally invasive technologies that use clips for the treatment of mitral regurgitation shows, in the hospital setting, very interesting results, particularly for inoperable patients, where the clinical and social improvements are significant compared to pharmacological treatments, whilst for 'operable' patients, the traditional techniques are still the most appropriate.

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Mechanism and Severity of Mitral Regurgitation by Transesophageal Echocardiography in Patients Referred for Percutaneous Valve Repair

Cited by 36 publications

References 29 publications

Current Status and Clinical Development of Transcatheter Approaches for Severe Mitral Regurgitation

Current Status and Clinical Development of Transcatheter Approaches for Severe Mitral Regurgitation

Mitral Transcatheter Technologies

Hospital-based health technology assessment on the use of mitral clips in the treatment of mitral regurgitation

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