A deep dive into the percutaneous mitral valve data.
| Autor: | Tagliari AP; Universidade Federal do Rio Grande do Sul.; Department of Cardiovascular Surgery, Hospital Mãe de Deus., Saadi RP; Universidade Federal do Rio Grande do Sul.; Department of Cardiovascular Surgery, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil., Tang GHL; Department of Cardiovascular Surgery, Mount Sinai Health System, New York, New York, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Current opinion in cardiology [Curr Opin Cardiol] 2024 May 01; Vol. 39 (3), pp. 226-233. Date of Electronic Publication: 2024 Feb 23. |
| DOI: | 10.1097/HCO.0000000000001128 |
| Abstrakt: | Purpose of Review: This review offers insights into percutaneous mitral valve management, emphasizing pivotal trials that contributed to its evolution. Recent Findings: Mitral regurgitation (MR) is a highly prevalent heart valve disease, with surgical intervention being the gold standard for managing primary MR. However, a notable proportion of patients face ineligibility criteria or are at high surgical risk, particularly in the setting of secondary MR. To fill this gap, transcatheter therapies have emerged as less invasive alternatives. Initially guided by the EVEREST trial criteria, transcatheter leaflet repair techniques have shown impressive technological improvements, addressing nowadays a wide range of anatomical scenarios. Evidence supporting the safety and efficacy of transcatheter leaflet repair is derived from pivotal trials, including EVEREST II, COAPT, MITRA-FR, and CLASP IID, and large multicenter registries including EXPAND, EXPAND G4, and EuroSMR. However, not all patients meet the anatomical and clinical criteria for leaflet repair. For those patients, transcatheter mitral valve replacement may be a minimally invasive option and multiple clinical trials are current underway. Summary: From MitraClip to newer and more innovative technologies, the landscape of percutaneous mitral valve interventions continues to evolve, offering new hopes to patients who may not be ideal candidates for conventional surgery. (Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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