Transcatheter Therapy for Mitral Regurgitation Clinical Challenges and Potential Solutions

被引:36
作者
Sorajja, Paul [1 ]
Leon, Martin B. [2 ]
Adams, David H. [3 ]
Webb, John G. [4 ]
Farivar, R. Saeid [1 ]
机构
[1] Abbott NW Hosp, Valve Sci Ctr, Minneapolis Heart Inst Fdn, 920 E 28th St, Minneapolis, MN 55407 USA
[2] Columbia Univ, New York, NY USA
[3] Mt Sinai Med Ctr, New York, NY 10029 USA
[4] St Pauls Hosp, Vancouver, BC, Canada
关键词
mitral; regurgitation; repair; replacement; surgery; transcatheter; VALVE REPAIR; INITIAL-EXPERIENCE; HEART-FAILURE; FOLLOW-UP; ANNULOPLASTY; OUTCOMES; IMPLANTATION; REPLACEMENT; RISK; PROLAPSE;
D O I
10.1161/CIRCULATIONAHA.117.025264
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Severe mitral regurgitation is a common and complex disease that is associated with an adverse prognosis. For decades, surgical treatment has been the standard of care. Recently, multiple technologies for transcatheter mitral therapy have emerged, with the potential for both repair and replacement in patients with native mitral regurgitation. Transcatheter mitral technologies have potential as solutions for unmet clinical needs. Further rigorous clinical studies are needed to determine their efficacy and safety, as well as the appropriate patient candidates. These evaluations will help to define the role of transcatheter mitral therapy as a potentially exciting new strategy to improve the lives of patients with mitral regurgitation.
引用
收藏
页码:404 / 417
页数:14
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