title: Transcatheter treatment of chronic mitral regurgitation with the MitraClip system: an Italian consensus statement.
abstract: New percutaneous technologies are rapidly emerging for the treatment of structural heart disease including mitral valve disease. Preliminary data suggest a potential clinical benefit of percutaneous treatment of mitral regurgitation by the MitraClip procedure in selected patients. Until final data are available from randomized, controlled, multicenter clinical trials, there is an urgent need for a consensus among all the operators involved in the treatment of patients with mitral regurgitation, including clinical cardiologists, heart failure specialists, surgeons, interventional cardiologists, and imaging experts. In the absence of evidence-based guidelines, the heart-team approach is the most reliable method of making proper decisions. This study is the result of multidisciplinary consensus activity, and has the aim of helping physicians in the difficult task of making decisions for the treatment of patients with mitral regurgitation. It is the result of a joint effort of the major Italian Cardiology and Cardiac Surgery Societies, working together to find a proper balance between the points of view of the clinical cardiologist, the interventional cardiologist, and the cardiac surgeon.
authors.affiliation: aOspedale San Raffaele bCentro Cardiologico Monzino cIstituto Scientifico S. Ambrogio, Milan dOspedale Campo Di Marte, Lucca eOspedale Niguarda, Milan fClinica Villa Maria, Cotignola gCardiologia, Università e Spedali Civili, Brescia hPoliclinico San Donato, Milan iOspedale Careggi, Firenze jOspedale Genova, Genova kA. O. Papa Giovanni XXIII, Bergamo lOspedale Ferrarotto, Catania mCardiologia Tor Vergata, Rome, Italy.
authors.forename: Francesco
authors.initials: F
authors.lastname: Maisano
authors.forename: Francesco
authors.initials: F
authors.lastname: Alamanni
authors.forename: Ottavio
authors.initials: O
authors.lastname: Alfieri
authors.forename: Antonio
authors.initials: A
authors.lastname: Bartorelli
authors.forename: Francesco
authors.initials: F
authors.lastname: Bedogni
authors.forename: Francesco M
authors.initials: FM
authors.lastname: Bovenzi
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Bruschi
authors.forename: Antonio
authors.initials: A
authors.lastname: Colombo
authors.forename: Alberto
authors.initials: A
authors.lastname: Cremonesi
authors.forename: Paolo
authors.initials: P
authors.lastname: Denti
authors.forename: Federica
authors.initials: F
authors.lastname: Ettori
authors.forename: Silvio
authors.initials: S
authors.lastname: Klugmann
authors.forename: Giovanni
authors.initials: G
authors.lastname: La Canna
authors.forename: Luigi
authors.initials: L
authors.lastname: Martinelli
authors.forename: Lorenzo
authors.initials: L
authors.lastname: Menicanti
authors.forename: Marco
authors.initials: M
authors.lastname: Metra
authors.forename: Fabrizio
authors.initials: F
authors.lastname: Oliva
authors.forename: Luigi
authors.initials: L
authors.lastname: Padeletti
authors.forename: Alessandro
authors.initials: A
authors.lastname: Parolari
authors.forename: Francesco
authors.initials: F
authors.lastname: Santini
authors.forename: Michele
authors.initials: M
authors.lastname: Senni
authors.forename: Corrado
authors.initials: C
authors.lastname: Tamburino
authors.forename: Gian P
authors.initials: GP
authors.lastname: Ussia
authors.forename: Francesco
authors.initials: F
authors.lastname: Romeo
mesh_terms: D006328:Cardiac Catheterization / Q000295:instrumentation / Q000379:methods*; D002908:Chronic Disease; D004867:Equipment Design; D006801:Humans; D019060:Minimally Invasive Surgical Procedures / Q000295:instrumentation / Q000379:methods; D008943:Mitral Valve / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000453:epidemiology / Q000601:surgery*; D010348:Patient Care Team; D018579:Patient Selection; D019736:Prostheses and Implants; D019919:Prosthesis Implantation / Q000379:methods