Transcatheter Mitral Valve Repair and Replacement: What's on the Horizon?

被引:1
|
作者
Donatelle, Marissa [1 ]
Ailawadi, Gorav [1 ]
机构
[1] Univ Michigan, Dept Cardiac Surg, 1500 E Med Ctr Dr,CVC 5144, Ann Arbor, MI 48109 USA
关键词
Mitral valve repair; Mitral valve replacement; Transcatheter; EARLY EXPERIENCE; REGURGITATION; ANNULOPLASTY; FEASIBILITY;
D O I
10.1053/j.semtcvs.2020.09.018
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
There are more than 4 million people affected by mitral regurgitation in both the United States and Europe. Prior to the last decade the only options for treatment of MR were medical therapy and open-heart surgery which left many high risk patients with little option once medically optimized. However, we saw a flood in innovative transcatheter mitral valve interventions. As the technologies are refined these new approaches are considerably less invasive and for some high-risk patients may represent a superior option to conventional open-heart surgery. There are 3 main approaches currently being considered for transcatheter mitral valve repair, edge to edge repair, indirect annuloplasty and direct annuloplasty. There have also been large advancements in recent years in transcatheter replacement of the mitral valve. Although many of these devices are under investigation still, we sought to examine the current state of innovative transcatheter mitral valve technologies. © 2020 Elsevier Inc.
引用
收藏
页码:291 / 298
页数:8
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