The MitraClip Experience and Future Percutaneous Mitral Valve Therapies

被引:8
作者
Bhamra-Ariza, Paul [1 ]
Muller, David W. M. [1 ]
机构
[1] St Vincents Hosp, Dept Cardiol, Darlinghurst, NSW 2010, Australia
关键词
Mitral regurgitation; Valve disease; Percutaneous therapies; Heart failure; CARDIAC RESYNCHRONIZATION THERAPY; CORONARY-SINUS; ACUTE OUTCOMES; REGURGITATION; REPAIR; ANNULOPLASTY; SURGERY; SYSTEM; RISK; RECURRENCE;
D O I
10.1016/j.hlc.2014.05.021
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Mitral regurgitation is the most common valve abnormality worldwide and its prevalence is expected to increase in the future due to aging of the population. Percutaneous mitral valve repair therapies may offer an opportunity to treat severe MR in the elderly or other high-risk groups who would otherwise be ineligible for surgery. The MitraClip system uses edge-to-edge coaptation of the mitral leaflets to create a double-orifice valve and reduce MR. It has been performed in over 10 000 patients to date, and as experience has improved, procedural times have shortened from over 200 minutes to less than 100 minutes, with increasing numbers of patients being left with <= grade 2+ MR. This review will focus on the literature available on MitraClip and other novel percutaneous techniques that are being developed for the treatment of severe MR.
引用
收藏
页码:1009 / 1019
页数:11
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