Percutaneous mitral valve repair with MitraClip.
Over the last decade, several technologies have been developed for percutaneous repair of the mitral valve for patients with severe mitral regurgitation (MR) and at high-risk for the traditional open-heart mitral valve repair or replacement. Among them, MitraClip has emerged as the only clinically safe and effective method for percutaneous mitral valve repair. It is adapted from the surgical technique that was initially described by Dr. Alfieri and his group by placement of a suture approximating the edges of the mitral leaflets at the origin of the MR jet, leading to creation of so-called bow-tie or double orifice with significant reduction in the MR jet. Here, we review the details of the technology, its procedural perspective as well as currently available data for its safety and effectiveness on a case-based report.
University of Pittsburgh Medical Center, Heart and Vascular Institute, Pittsburgh, USA. mcilingiroglu@yahoo.com
Mehmet
M
Cilingiroğlu
Michael
M
Salinger
D000369:Aged, 80 and over; D017321:Clinical Trials, Phase I as Topic; D017322:Clinical Trials, Phase II as Topic; D005260:Female; D006333:Heart Failure / Q000150:complications; D006801:Humans; D008297:Male; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D017202:Myocardial Ischemia / Q000150:complications; D010348:Patient Care Team / Q000592:standards; D018579:Patient Selection; D062645:Percutaneous Coronary Intervention / Q000295:instrumentation* / Q000379:methods*; D014463:Ultrasonography