title: Review of the endovascular approach to mitral valve disease.
abstract: The first interventional attempts at relieving mitral valve disease were in a sense minimally invasive, using relatively small incisions and introduction of instruments or a finger to open stenotic valves on the beating heart. The development of reliable cardiopulmonary bypass (CPB) made exact anatomic repair of mitral pathology possible with improved results. Mitral valve surgery on an arrested heart has been the mainstay of treatment for decades. Modifications and minimalization of the surgical approach using videoscopic or robotic instruments have made less invasive procedures possible. Such procedures demand excellent technical skills and are still not widely adopted. More recently, attempts have been made to repair mitral valves using endovascular access on the beating heart, guiding the repair process with real-time imaging. We are presenting a review of available and developing techniques for endovascular repair of the mitral valve. A device developed by our group will be briefly described.
authors.affiliation: a 1 The Intervention Centre, Oslo University Hospital , Oslo, Norway.|b 2 BH Heart Centre, Tuzla, Bosnia and Herzegovina.|d 4 Institute for Clinical Medicine, Medical Faculty, University of Oslo.
authors.forename: Jacob
authors.initials: J
authors.lastname: Bergsland
authors.affiliation: c 3 Oslo and Akershus University College , Oslo, Norway.
authors.forename: Peyman
authors.initials: P
authors.lastname: Mirtaheri
authors.affiliation: c 3 Oslo and Akershus University College , Oslo, Norway.
authors.forename: Nikolai
authors.initials: N
authors.lastname: Hiorth
authors.affiliation: a 1 The Intervention Centre, Oslo University Hospital , Oslo, Norway.|d 4 Institute for Clinical Medicine, Medical Faculty, University of Oslo.
authors.forename: Erik
authors.initials: E
authors.lastname: Fosse
mesh_terms: D057510:Endovascular Procedures / Q000379:methods*; D006801:Humans; D008943:Mitral Valve / Q000601:surgery*; D058386:Mitral Valve Annuloplasty / Q000379:methods*; D008944:Mitral Valve Insufficiency / Q000601:surgery*; D065467:Transcatheter Aortic Valve Replacement / Q000379:methods
keywords: Advanced technology; cardiac surgery; catheter interventions; endovascular therapy; instrument design