Key result
Percutaneous mitral repair techniques offer promising alternatives to conventional surgery for selected high-surgical-risk patients with primary degenerative and secondary mitral valve regurgitation.
Percutaneous mitral valve interventions, including repair and replacement, offer promising alternatives to conventional surgery for selected high-risk patients with mitral regurgitation.
Should not yet change practice; leaves open need for randomized trials in high-risk mitral regurgitation.
In recent years, various percutaneous techniques have been introduced for the treatment of mitral regurgitation (MR), including direct leaflet repair, annuloplasty and left ventricular remodeling. Percutaneous mitral repair targets both primary degenerative and secondary mitral valve regurgitation and may be considered in selected high-surgical-risk patients. The assessment of mitral functional anatomy by echocardiography and computed tomography is crucial when selecting the appropriate repair strategy, according to the regurgitant valve lesion and the surrounding anatomy. The ongoing clinical use of new devices in annuloplasty and percutaneous mitral valve replacement is a promising new scenario in the treatment of MR that goes beyond the conventional surgical approach.
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Canna et al. (2015) conducted a review in Mitral regurgitation. Percutaneous mitral valve treatment was evaluated. Percutaneous mitral repair techniques offer promising alternatives to conventional surgery for selected high-surgical-risk patients with primary degenerative and secondary mitral valve regurgitation.
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