Transcatheter mitral valve interventions: pre-procedural planning and intra-procedural guidance.
Minerva Cardiol Angiol
; 69(6): 684-706, 2021 Dec.
Article
en En
| MEDLINE
| ID: mdl-33944538
ABSTRACT
Mitral regurgitation is the most prevalent valve disease worldwide. Percutaneous mitral valve interventions are emerging as alternative options for high-risk patients with severe mitral regurgitation not eligible for conventional surgery. Accurate patient selection is based on a detailed pre-procedural multimodality imaging evaluation. Morphology and functional anatomy of the mitral valve should be evaluated to determine the feasibility of treatments and to identify the best therapeutic approach. The procedures are guided by fluoroscopy, transesophageal echocardiography and fusion imaging, ensuring a continuous communication between the interventionalist and the imaging specialist. The present review will cover the pre-procedural planning and the intra-procedural guidance of the most used transcatheter approaches in the setting of native mitral valve regurgitation edge to edge repair, percutaneous direct and indirect annuloplasty, transapical beating-heart chordal implantation and transcatheter mitral valve replacement.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Implantación de Prótesis de Válvulas Cardíacas
/
Anuloplastia de la Válvula Mitral
/
Insuficiencia de la Válvula Mitral
Tipo de estudio:
Guideline
Límite:
Humans
Idioma:
En
Revista:
Minerva Cardiol Angiol
Año:
2021
Tipo del documento:
Article
País de afiliación:
Italia