Key result
Preprocedural 2D and 3D echocardiography optimizes patient selection and procedural success in percutaneous mitral interventions.
Why the study?
Mitral regurgitation has growing prevalence and percutaneous repair techniques require careful preoperative evaluation due to anatomical variability and complexity.
Echocardiography plays an essential role in the preoperative evaluation of the mitral valve apparatus to assess patient suitability for percutaneous repair techniques such as MitraClip.
May aid MitraClip standardization in high-risk MR; leaves open need for RCTs on durability versus surgery.
Mitral regurgitation is a source of significant morbidity and mortality with growing prevalence in an increasingly ageing population. The development of reparative percutaneous techniques allows offering treatment to patients ineligible for surgery. The mitral valve is a complex structure and these procedures are limited by anatomical variability and technical complexity. The most established mitral valve repair technique currently is the MitraClip, which requires a careful preoperative evaluation of the mitral valve apparatus to assess the patient's suitability for the intervention, where echocardiography plays an essential role.
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González-Gómez et al. (2015) conducted a review in Mitral regurgitation. Percutaneous mitral valve interventions (e.g., MitraClip) was evaluated. A detailed understanding of mitral valve anatomy and comprehensive pre-procedural screening using 2D and 3D echocardiography are essential for patient selection and success in percutaneous mitral valve interventions.