Minimally-invasive mitral valve repair: evolution of the technique to the standard of care for mitral regurgitation

Conradi, Lenard; Treede, H; Deuse, T.; Brickwedel, J.; Detter, Christian; Reichenspurner, Hermann

doi:10.1055/s-0029-1246988

Cited by 3 publications

(3 citation statements)

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“…5 Minimallyinvasive techniques (MITs) have reduced operative trauma and have become the standard-of-care at specialised centres. 6 This expertise is the benchmark for any novel interventional approach. These less invasive approaches are urgently needed since a growing share of patients with relevant MR are poor surgical candidates.…”

Section: Introductionmentioning

confidence: 99%

Recent Advances in Surgical and Percutaneous Mitral Valve Therapies – Implications of an Integrated Approach to Mitral Regurgitation

2014

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Surgical mitral valve (MV) repair has evolved to become the standard of care for severe mitral regurgitation (MR) with superior acute and long-term results compared to valve replacement. Minimally-invasive surgical techniques have been successful in reducing operative trauma while yielding equivalent or even superior results compared to conventional sternotomy. However, due to elevated operative risk, growing numbers of patients are not referred for surgery, especially elderly patients with reduced ventricular function and functional MR who often present with relevant comorbidities. For these patients, transcatheter-based therapies represent an attractive option. While most interventional techniques are still in experimental or early clinical stages, relevant clinical experience has been gathered with the MitraClip device. More recently, devices for transcatheter MV implantation have entered the clinical stage. For successful implementation of an interdisciplinary MV programme, integration of surgical and interventional treatment modalities within heart centres is of paramount importance. This is best accomplished by an interdisciplinary heart team consisting of cardiologists and cardiac surgeons. An integrated approach to MV disease will help relieve under-treatment of patients with severe MR and will benefit a true heart centre as a whole by increasing the overall caseload of MV patients, as well as volumes and outcome of MV surgery by more adequate patient allocation for different treatment options.

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Section: Introductionmentioning

confidence: 99%

Recent Advances in Surgical and Percutaneous Mitral Valve Therapies – Implications of an Integrated Approach to Mitral Regurgitation

2014

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“…If performed in a timely fashion, successful valve repair restores both life expectancy and quality of life to normal. Furthermore, at specialized centers, a minimally invasive videoscopic approach via a right-anterior minithoracotomy has been established as the standard of care [2], offering additional benefits in terms of postoperative reconvalescence, transfusion requirements, or cosmesis.…”

Section: Introductionmentioning

confidence: 99%

Impact of MitraClip™ therapy on secondary mitral valve surgery in patients at high surgical risk

Conradi

Treede

Franzen³

et al. 2011

European Journal of Cardio-Thoracic Surgery

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“…2 In addition, the invasiveness of surgical MVR is favorably reduced if minimally invasive techniques through a right-sided lateral minithoracotomy are implemented as the standard of care. 3 In functional mitral valve disease, however, the results of surgical MVR are worse and procedural risks are higher. 4 If MR is caused by ventricular dysfunction (eg, dilated cardiomyopathy), repair of the valve may restore valve function but does not treat the underlying ventricular disease.…”

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confidence: 99%

A heart team’s perspective on interventional mitral valve repair: Percutaneous clip implantation as an important adjunct to a surgical mitral valve program for treatment of high-risk patients

Treede¹,

Schirmer²,

Rudolph³

et al. 2012

The Journal of Thoracic and Cardiovascular Surgery

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Minimally-invasive mitral valve repair: evolution of the technique to the standard of care for mitral regurgitation

Cited by 3 publications

References 0 publications

Recent Advances in Surgical and Percutaneous Mitral Valve Therapies – Implications of an Integrated Approach to Mitral Regurgitation

Recent Advances in Surgical and Percutaneous Mitral Valve Therapies – Implications of an Integrated Approach to Mitral Regurgitation

Impact of MitraClip™ therapy on secondary mitral valve surgery in patients at high surgical risk

A heart team’s perspective on interventional mitral valve repair: Percutaneous clip implantation as an important adjunct to a surgical mitral valve program for treatment of high-risk patients

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