Contemporary Review of Transcatheter Mitral Valve Interventions for Mitral Regurgitation

被引:2
作者
Chan, Nicholas [1 ,2 ]
Dong, Tiffany [1 ]
Sabbak, Nabil [3 ]
Xu, Bo [1 ]
Wang, Tom Kai Ming [1 ]
机构
[1] Heart Vasc & Thorac Inst, Dept Cardiovasc Med, Sect Cardiovasc Imaging, Cleveland, OH 44195 USA
[2] Columbia Univ, Irving Med Ctr, Dept Med, Seymour Paul & Gloria Milstein Div Cardiol, New York, NY 10032 USA
[3] Heart Vasc & Thorac Inst, Dept Cardiovasc Med, Sect Invas & Intervent Cardiol Sect, Cleveland Hts, OH 44195 USA
来源
LIFE-BASEL | 2023年 / 13卷 / 07期
关键词
mitral valve; mitral regurgitation; transcatheter mitral interventions; transcatheter therapies; structural heart interventions; echocardiography; computed tomography; OUTFLOW TRACT OBSTRUCTION; PARAVALVULAR LEAK CLOSURE; ALCOHOL SEPTAL ABLATION; TO-EDGE REPAIR; PERCUTANEOUS REPAIR; ANNULAR CALCIFICATION; ANNULOPLASTY RINGS; CLINICAL-OUTCOMES; 1-YEAR OUTCOMES; REPLACEMENT;
D O I
10.3390/life13071511
中图分类号
Q [生物科学];
学科分类号
07 ; 0710 ; 09 ;
摘要
Mitral regurgitation (MR) is the most common form of valvular heart disease in the United States, and there are established guidelines for indications for requiring mitral valve surgeries. However, there is an unmet clinical need for a subset of high-risk MR patients, especially those with advanced age, heart failure and/or secondary MR. Following the successes of transcatheter aortic valve replacements, significant advances have occurred over the last decade in transcatheter mitral valve interventions in order to manage these patients in both clinical practice and trials. The three main types of these interventions include a transcatheter edge-to-edge repair, percutaneous mitral annuloplasty (both direct and indirect) and transcatheter mitral valve replacement (including when applied to a prior prosthetic valve, annuloplasty ring and mitral annuloplasty ring). This review aims to discuss the contemporary techniques, evidence, indications, multimodality imaging evaluations and outcomes of the various transcatheter mitral valve interventions.
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页数:20
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