Transcatheter Mitral Valve Repair or Replacement: Competitive or Complementary?

Figure 1. Transcatheter Mitral Valve Repair Systems: (A) MitraClipTM device. Image courtesy of Abbott. (B) PASCAL system. Image courtesy of Edwards Lifesciences. (C) Cardioband system. Image courtesy of Edwards Lifesciences. (D) Mitralign system. Image courtesy of Mitralign Inc. (E) Carillon mitral contour system. Image courtesy of Cardiac Dimensions. (F) NeoChord system. Image courtesy of NeoChord Inc.

Figure 2. Transcatheter Mitral Valve Replacement Systems: (A) Tendyne prosthesis. Image courtesy of Abbott. (B) Tiara prosthesis (left: top view, right: side view). Image courtesy of Neovasc Inc. (C) Intrepid prosthesis. Image courtesy of Medtronic. (D) EVOQUE prosthesis. Image courtesy of Edwards Lifesciences. (E) SAPIEN M3 prosthesis. Image courtesy of Edwards Lifesciences. (F) HighLife prosthesis. Image courtesy of HighLife Medical.

Figure 3. Selection of the most appropriate therapeutic strategy. CABG: coronary artery bypass grafting.

Figure 4. Transcatheter mitral valve delivery approaches: (a) transseptal, (b) transapical, (c) left atriotomy, (d) transaortic [101].