Percutaneous valve repair

Percutaneous Valve Repair and Replacement for Mitral Regurgitation 124 Percutaneous Aortic Valve Replacement 131 Future Directions 138 References 138... [Pg.123]

PERCUTANEOUS VALVE REPAIR AND REPLACEMENT FOR MITRAL REGURGITATION... [Pg.124]

Indications for surgical intervention include regurgitation with NYHA lll-IV symptoms or NHYA >11 with atrial fibrillation refractory to conservative treatment. Several surgical techniques are effective, The Alfieri stitch or edge to edge technique is of interest because one of the percutaneous mitral valve repair techniques is based on an equivalent principle (29,30). Currently two methods for transcatheter mitral valve repair are investigated in clinical trials ... [Pg.597]

Feldman T Wasserman HS, Herrmann HC, et al. Percutaneous mitral valve repair using the edge-to-edge technique six-month results of the EVEREST Phase I Clinical Trial. J Am Coll Cardiol 2005 46 2134-2140. [Pg.602]

LiddicoatJR, Mac Neill BD, Gillinov AM, et al. Percutaneous mitral valve repair a feasibility study in an ovine model of acute ischemic mitral regurgitation. Catheter Cardiovasc Interv 2003 60 410-416. [Pg.602]

Table 7.1 Percutaneous transcatheter mitral valve repair/replacement tech nologies... [Pg.125]

The idea of percutaneous mitral valve replacement may be more challenging than mitral valve repair techniques due to the unique shape and location of the mitral valve and associated apparatus. The Endovalve-Hermann mitral valve replacement system (Endovalve Inc., Princeton, NJ) is a bioprosthetic foldable redeployable valve that allows antegrade trans-septal placement via a 24 French sheath. An early animal study in four sheep has been reported by Hermann at TCT 2007 (Figure 7.8). [Pg.131]

According to the 2006 ACC/AHA guidelines for the management of patients with valvular heart disease, mitral valve replacement (MVR) is recommended for patients with moderate to severe mitral stenosis (M VA <1.5 cm ), if the patient is not suitable for percutaneous mitral balloon valvulotomy and is not a high-risk candidate [17]. For chronic mitral regurgitation, MVR is only recommended if a patient with LV dysfunction (ejection fraction <0.60 and/or end systolic dimension >40 mm) is deemed not suitable for mitral valve repair. [Pg.1527]

Herrmann HC, Rohatgi S, Wassermann HS, et al. Mitral valve hemodynamic effects of percutaneous edge-to-edge repair with the MitraClip device for mitral regurgitation. Catheter Cardiovasc Interv 2006 68 821-8. [Pg.139]

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