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Direct percutaneous mitral annuloplasty in patients with functional mitral regurgitation: when and how


Gasior, Tomasz; Gavazzoni, Mara; Taramasso, Maurizio; Zuber, Michel; Maisano, Francesco (2019). Direct percutaneous mitral annuloplasty in patients with functional mitral regurgitation: when and how. Frontiers in cardiovascular medicine, 6:152.

Abstract

Mitral regurgitation (MR) is a frequent valvular disease among patients deemed too high risk for surgery. Echocardiography along with CT is the primary diagnostic tool for MR and offers a comprehensive 3D assessment in patient selection and screening for the optimal treatment method. The direct percutaneous mitral annuloplasty addresses the underlying mechanisms of functional MR with a less invasive, catheter-based approach. The here-described techniques proved a sufficient safety profile, delivered significant MR reduction in most of the cases, and were associated with a notable improvement of symptoms. Although long-term outcome assessment is needed to support these early reports, the percutaneous mitral annuloplasty is likely to set a new standard of treatment in the forthcoming future.

Abstract

Mitral regurgitation (MR) is a frequent valvular disease among patients deemed too high risk for surgery. Echocardiography along with CT is the primary diagnostic tool for MR and offers a comprehensive 3D assessment in patient selection and screening for the optimal treatment method. The direct percutaneous mitral annuloplasty addresses the underlying mechanisms of functional MR with a less invasive, catheter-based approach. The here-described techniques proved a sufficient safety profile, delivered significant MR reduction in most of the cases, and were associated with a notable improvement of symptoms. Although long-term outcome assessment is needed to support these early reports, the percutaneous mitral annuloplasty is likely to set a new standard of treatment in the forthcoming future.

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Vascular Surgery
Dewey Decimal Classification:610 Medicine & health
Uncontrolled Keywords:direct percutaneous annuloplasty mitral annuloplasty mitral annulus mitral regurgitation mitral valve imaging mitral valve interventions patient selection transcatheter valve repair
Language:English
Date:6 November 2019
Deposited On:09 Jan 2020 10:06
Last Modified:09 Jan 2020 10:08
Publisher:Frontiers Research Foundation
ISSN:2297-055X
OA Status:Gold
Free access at:Publisher DOI. An embargo period may apply.
Publisher DOI:https://doi.org/10.3389/fcvm.2019.00152
PubMed ID:31788478

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