title: Coronary Sinus-Based Approach to Mitral Regurgitation.
abstract: Functional, or secondary, mitral regurgitation (FMR) is clinically important because patient with congestive heart failure with FMR have worse clinical outcomes and associated higher risks than patients without FMR. There is interest in finding repair techniques which may modify the mitral valve dysfunction and reduce the clinical impact. Although several devices have taken advantage of the close anatomical relationship between the coronary sinus and the posterior annulus of the mitral valve, in order to provide a cinching force on the mitral annulus, only the Carillon device is currently in use in humans. A double blind randomized trial is currently being done to evaluate the value of this therapy, building upon the favorable result of three prior safety and efficacy trials, which have led to European approval of the device.
authors.affiliation: Rocky Mountain Heart & Lung, Kalispell Regional Medical Center, 350 Heritage Way, Suite 2100, Kalispell, MT 59901, USA; Cardiac Dimensions, Inc, 5540 Lake Washington Boulevard NE, Kirkland, WA 98033, USA. Electronic address: stevgold99@gmail.com.
authors.forename: Steven L
authors.initials: SL
authors.lastname: Goldberg
authors.affiliation: Heart Center University of Bonn, Sigmund Freud Strasse 25, Bonn 53125, Germany.
authors.forename: Christoph
authors.initials: C
authors.lastname: Hammerstingl
mesh_terms: D054326:Coronary Sinus; D004311:Double-Blind Method; D006333:Heart Failure; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008943:Mitral Valve; D008944:Mitral Valve Insufficiency / Q000601:surgery*
keywords: Carillon device; Coronary sinus; Mitral regurgitation