Transcatheter Mitral Valve Intervention: Current and Future Role of Multimodality Imaging for Device Selection and Periprocedural Guidance.

Autor: Brugiatelli L; 'G.M. Lancisi' Cardiovascular Center, 60126 Ancona, Italy.; Department of Biomedical Sciences and Public Health, Marche Polytechnic University, 60121 Ancona, Italy., Rolando M; 'G.M. Lancisi' Cardiovascular Center, 60126 Ancona, Italy., Lofiego C; 'G.M. Lancisi' Cardiovascular Center, 60126 Ancona, Italy., Fogante M; Maternal-Child, Senological, Cardiological Radiology and Outpatient Ultrasound, Department of Radiological Sciences, University Hospital of Marche, 60126 Ancona, Italy., Capodaglio I; 'G.M. Lancisi' Cardiovascular Center, 60126 Ancona, Italy., Patani F; 'G.M. Lancisi' Cardiovascular Center, 60126 Ancona, Italy., Tofoni P; 'G.M. Lancisi' Cardiovascular Center, 60126 Ancona, Italy.; Department of Biomedical Sciences and Public Health, Marche Polytechnic University, 60121 Ancona, Italy., Maurizi K; 'G.M. Lancisi' Cardiovascular Center, 60126 Ancona, Italy.; Department of Biomedical Sciences and Public Health, Marche Polytechnic University, 60121 Ancona, Italy., Nazziconi M; 'G.M. Lancisi' Cardiovascular Center, 60126 Ancona, Italy.; Department of Biomedical Sciences and Public Health, Marche Polytechnic University, 60121 Ancona, Italy., Massari A; 'G.M. Lancisi' Cardiovascular Center, 60126 Ancona, Italy.; Department of Biomedical Sciences and Public Health, Marche Polytechnic University, 60121 Ancona, Italy., Furlani G; 'G.M. Lancisi' Cardiovascular Center, 60126 Ancona, Italy.; Department of Biomedical Sciences and Public Health, Marche Polytechnic University, 60121 Ancona, Italy., Signore G; Department of Transalational Medical Sciences, University of Campania 'Luigi Vanvitelli', 80131 Naples, Italy., Esposto Pirani P; Maternal-Child, Senological, Cardiological Radiology and Outpatient Ultrasound, Department of Radiological Sciences, University Hospital of Marche, 60126 Ancona, Italy., Schicchi N; Cardiovascular Radiological Diagnostics, Department of Radiological Sciences, University Hospital of Marche, 60126 Ancona, Italy., Dello Russo A; 'G.M. Lancisi' Cardiovascular Center, 60126 Ancona, Italy.; Department of Biomedical Sciences and Public Health, Marche Polytechnic University, 60121 Ancona, Italy., Di Eusanio M; Cardiac Surgery Department, Polytechnic University of Marche, AOU delle Marche, 60121 Ancona, Italy., Vagnarelli F; 'G.M. Lancisi' Cardiovascular Center, 60126 Ancona, Italy.
Jazyk: angličtina
Zdroj: Medicina (Kaunas, Lithuania) [Medicina (Kaunas)] 2024 Jul 01; Vol. 60 (7). Date of Electronic Publication: 2024 Jul 01.
DOI: 10.3390/medicina60071082
Abstrakt: Mitral regurgitation (MR) is a broadly diffuse valvular heart disease (VHD) with a significant impact on the healthcare system and patient prognosis. Transcatheter mitral valve interventions (TMVI) are now well-established techniques included in the therapeutic armamentarium for managing patients with mitral regurgitation, either primary or functional MR. Even if the guidelines give indications regarding the correct management of this VHD, the wide heterogeneity of patients' clinical backgrounds and valvular and heart anatomies make each patient a unique case, in which the appropriate device's selection requires a multimodal imaging evaluation and a multidisciplinary discussion. Proper pre-procedural evaluation plays a pivotal role in judging the feasibility of TMVI, while a cooperative work between imagers and interventionalist is also crucial for procedural success. This manuscript aims to provide an exhaustive overview of the main parameters that need to be evaluated for appropriate device selection, pre-procedural planning, intra-procedural guidance and post-operative assessment in the setting of TMVI. In addition, it tries to give some insights about future perspectives for structural cardiovascular imaging.
Databáze: MEDLINE
Externí odkaz: