Current Indications for Transcatheter Mitral Valve Replacement Using Transcatheter Aortic Valves
Autor: | Marina Urena, Eric Brochet, Dominique Himbert, Bernard Iung, Gregory Ducrocq, Alec Vahanian |
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Rok vydání: | 2021 |
Předmět: |
Aortic valve
medicine.medical_specialty Transcatheter aortic business.industry medicine.medical_treatment Mitral valve replacement 030204 cardiovascular system & hematology medicine.disease Valve in valve 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Physiology (medical) Internal medicine Mitral valve cardiovascular system Cardiology Medicine cardiovascular diseases 030212 general & internal medicine Heart valve Cardiology and Cardiovascular Medicine business Mitral annulus calcification Calcification |
Zdroj: | Circulation. 143:178-196 |
ISSN: | 1524-4539 0009-7322 |
Popis: | Use of transcatheter mitral valve replacement (TMVR) using transcatheter aortic valves in clinical practice is limited to patients with failing bioprostheses and rings or mitral valve disease associated with severe mitral annulus calcification. Whereas the use of valve-in-valve TMVR appears to be a reasonable alternative to surgery in patients at high surgical risk, much less evidence supports valve-in-ring and valve-in-mitral annulus calcification interventions. Data on the results of TMVR in these settings are derived from small case series or voluntary registries. This review summarizes the current evidence on TMVR using transcatheter aortic valves in clinical practice from the characteristics of the TMVR candidates, screening process, performance of the procedure, and description of current results and future perspectives. TMVR using dedicated devices in native noncalcified mitral valve diseases is beyond the scope of the article. |
Databáze: | OpenAIRE |
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