Key result
Percutaneous valve interventions, including aortic valve prostheses and mitral valve repair devices, are rapidly expanding and decreasing the invasiveness of valve procedures.
Highlights the rapid expansion and future direction of minimally invasive and percutaneous valve interventions, emphasizing the need for surgeons to adapt to these evolving technologies.
Supports clinician awareness of expanding percutaneous options; leaves open durability and outcome comparisons versus surgery.
Boundaries between the specialties of cardiology and cardiovascular surgery are becoming less distinct, as cardiologists and cardiac surgeons alike strive to decrease invasiveness of procedures and improve patient results. For surgeons, new tools and techniques have allowed innovative, minimally invasive techniques to be performed successfully with smaller incisions and faster recovery. With the introduction of novel catheter technology, aortic valve prostheses can be placed percutaneously or, more recently, transapically without cardiopulmonary bypass. Furthermore, the field of percutaneous mitral valve repair is rapidly expanding with multiple novel off-pump percutaneous devices designed to reduce or eliminate mitral regurgitation, including devices that perform edge-to-edge leaflet repair and percutaneous mitral annuloplasty. The explosive growth of new ideas and new procedures to decrease invasiveness of valve procedures will continue to evolve over the next 5 years, and surgeons must remain nimble to become part of this process.
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William E. Cohn (2006) conducted a review in Valvular heart disease. Percutaneous valve interventions was evaluated. Percutaneous valve interventions, including aortic valve prostheses and mitral valve repair devices, are rapidly expanding and decreasing the invasiveness of valve procedures.
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