Percutaneous approaches to mitral valve disease.pdf

Percutaneous approaches to mitral valve disease

Cristina Basso, Giuseppe Musumeci, Francesco Saia

Transcatheter therapies have progressively assumed a major role in the treatment of valve heart disease. The major drivers have been population ageing, the high prevalence of valve disease in the elderly, and the consequent need of less invasive treatments for this fragile patient population. While transcatheter aortic valve implantation (TAVI) has achieved a central role in the treatment of severe aortic stenosis across any surgical risk category, transcatheter treatment of mitral valve disease is still the object of intense debate and investigation. The reasons are that the mitral valve apparatus anatomy is more complex, involving valve leaflets, subvalvular apparatus and the left ventricle. Further, the most frequent mitral valve disease, i.e. mitral regurgitation, has different etiologies and is frequently a consequence rather than the cause of left ventricular dysfunction and heart failure. Hence, clinical efficacy of its correction is uncertain. Beyond the varying clinical scenarios, there are a miriad of devices under developement or at different stages of clinical investigations. This book describes the state of the art in the filed of percutaneous treatment of mitral valve disease. It provides a comprehensive review including anatomical basis, in-depth diagnostics, patophysiology, summary of available evidence for transcatheter treatments, state-of-the art of cardiac surgery,description of devices commercially available or under investigation, and clinical examples.

31 Jan 2020 ... Transcatheter mitral valve repair (TMVR) is a minimally invasive technique for ... Percutaneous repair or surgery for mitral regurgitation. ... Feldman T, Young A. Percutaneous approaches to valve repair for mitral regurgitation. 10 Jan 2020 ... Percutaneous approach for valvular heart disease is accepted as a safe ... Keywords: mitral valve regurgitation, aortic valve regurgitation, heart ...

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Percutaneous approaches to mitral valve disease.pdf

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Note correnti

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Sofi Voighua

01/01/2011 · Percutaneous Approaches to Mitral Valve (MV) Therapies. The MV is just one of the elements of the mitral apparatus, and as such pathologies affecting the annulus (mitral annulus [MA]), leaflets, papillary muscle, chordae tendineae, LV, and left atrium (LA) can all produce or contribute to MR.

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Mattio Mazio

Prospects for the percutaneous repair of the mitral valve REVIEW (9.1%), including one death, three transseptal complications, four patients with major bleed-ing requiring periprocedural transfusions (and an additional patient with major bleeding after referral for surgical mitral valve repair owing to a failed MitraClip procedure) and two patients Mitral valve regurgitation (MR) is the commonest valvular abnormality encountered among adult patients with cardiac valvular disease and conveys significant morbidity and mortality. The mitral valve is a complex anatomical structure and etiology for regurgitation is classified as either primary or secondary MR. Identification of the etiology in severe MR is critical in determining the

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Noels Schulzzi

However the available approaches mainly contribute to alleviate the symptoms and are suitable for very specific forms of mitral valve disease and anatomic subset. The possibility to perform a complete percutaneous mitral valve replacement still represents an unmet need which would provide enormous advance for a vast patients population.

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Jason Statham

01/05/2007 · RATIONALE FOR A PERCUTANEOUS APPROACH. Valvular heart disease is an important cause of cardiovascular morbidity and mortality worldwide. In many countries, though improved living conditions and better access to antibiotics and healthcare have seen a decline in rheumatic heart disease, the prevalence of degenerative valve disease has escalated with ageing of the population. Percutaneous Approaches to Valve Repair for Mitral Regurgitation. Author links open overlay panel Ted Feldman MD Amelia Young MD. Show more. A.S. YasarSuccessful percutaneous mitral valve repair with the mitraclip system of acute mitral regurgitation due to papillary muscle rupture as complication of acute myocardial infarction. Catheter

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Jessica Kolhmann

27/05/2014 · Percutaneous therapy has emerged as an option for treatment of mitral regurgitation for selected, predominantly high-risk patients. Most of the percutaneous approaches are modifications of existing surgical approaches. Catheter-based devices mimic these surgical approaches with less procedural risk, due to their less-invasive nature.