Maneuvers for technical success with transcatheter mitral valve repair.
Mitral valve regurgitation (MR) is common, with a prevalence that exceeds 9% for those patients >75 years of age. For symptomatic patients with prohibitive surgical risk, transcatheter mitral valve repair with the MitraClip®system (Abbott Vascular, Menlo Park, CA) is available for clinical use and is effective in reducing MR in select patients. For optimal clinical success, the procedure requires mastery of complex catheterization skills with application of an in-depth understanding of the mitral valve anatomy. We herein describe elementary and advanced maneuvers for successful transcatheter mitral valve repair with MitraClip®. © 2017 Wiley Periodicals, Inc.
Valve Science Center, Minneapolis Heart Institute at Abbott Northwestern Hospital, Minneapolis, Minnesota.
Paul
P
Sorajja
Valve Science Center, Minneapolis Heart Institute at Abbott Northwestern Hospital, Minneapolis, Minnesota.
Brinder
B
Kanda
Valve Science Center, Minneapolis Heart Institute at Abbott Northwestern Hospital, Minneapolis, Minnesota.
Richard
R
Bae
Valve Science Center, Minneapolis Heart Institute at Abbott Northwestern Hospital, Minneapolis, Minnesota.
Wesley A
WA
Pedersen
Valve Science Center, Minneapolis Heart Institute at Abbott Northwestern Hospital, Minneapolis, Minnesota.
Mario
M
Gössl
D000368:Aged; D006328:Cardiac Catheterization / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D018618:Echocardiography, Doppler, Color; D019560:Echocardiography, Three-Dimensional; D017548:Echocardiography, Transesophageal; D005260:Female; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D006439:Hemodynamics; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D011474:Prosthesis Design; D020127:Recovery of Function; D012307:Risk Factors; D016896:Treatment Outcome
mitral valve disease; percutaneous intervention; structural heart disease intervention