Percutaneous Transcatheter Edge-to-Edge Mitral Valve Repair With MitraClip System in the Era of G4.

Autor:	Silva I; Québec Heart and Lung Institute, Laval University, Québec City, Quebec, Canada., Turgeon PY; Québec Heart and Lung Institute, Laval University, Québec City, Quebec, Canada., Paradis JM; Québec Heart and Lung Institute, Laval University, Québec City, Quebec, Canada., Beaudoin J; Québec Heart and Lung Institute, Laval University, Québec City, Quebec, Canada., O'Connor K; Québec Heart and Lung Institute, Laval University, Québec City, Quebec, Canada., Ternacle J; Québec Heart and Lung Institute, Laval University, Québec City, Quebec, Canada.; Haut-Lévêque Cardiology Hospital, University Hospital of Bordeaux, Pessac, Franc., Alperi A; Québec Heart and Lung Institute, Laval University, Québec City, Quebec, Canada., Panagides V; Québec Heart and Lung Institute, Laval University, Québec City, Quebec, Canada., Mesnier J; Québec Heart and Lung Institute, Laval University, Québec City, Quebec, Canada., Gravel C; Québec Heart and Lung Institute, Laval University, Québec City, Quebec, Canada., Clavel MA; Québec Heart and Lung Institute, Laval University, Québec City, Quebec, Canada., Dagenais F; Québec Heart and Lung Institute, Laval University, Québec City, Quebec, Canada., Dumont E; Québec Heart and Lung Institute, Laval University, Québec City, Quebec, Canada., Mohammadi S; Québec Heart and Lung Institute, Laval University, Québec City, Quebec, Canada., Pibarot P; Québec Heart and Lung Institute, Laval University, Québec City, Quebec, Canada., Bernier M; Québec Heart and Lung Institute, Laval University, Québec City, Quebec, Canada., Rodés-Cabau J; Québec Heart and Lung Institute, Laval University, Québec City, Quebec, Canada., Salaun E; Québec Heart and Lung Institute, Laval University, Québec City, Quebec, Canada.
Jazyk:	angličtina
Zdroj:	Structural heart : the journal of the Heart Team [Struct Heart] 2022 Nov 12; Vol. 7 (2), pp. 100114. Date of Electronic Publication: 2022 Nov 12 (Print Publication: 2023).
DOI:	10.1016/j.shj.2022.100114
Abstrakt:	The use of transcatheter edge-to-edge mitral valve repair (TEER) in symptomatic patients with severe mitral regurgitation (MR) has dramatically increased over the last few years. Current guidelines consider TEER as a reasonable option in symptomatic patients with primary or chronic secondary severe MR with high or prohibitive surgical risk and favorable anatomy. However, several anatomical and morphological mitral features have restricted the use of this mini-invasive technique in its early experience. The latest fourth generation (G4) of the MitraClip system has been recently introduced and includes the possibility of independent leaflet grasping and 4 different sizes. This technical update offers the possibility of selecting and combining multiple devices for complex mitral valve anatomies and challenging procedures, which helps expand the applications of TEER. The present review describes the potential advantages and the help of the MitraClip G4 devices to overcome various anatomic and morphologic issues in challenging cases with complex primary and secondary MR procedures. (© 2022 The Author(s).)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu