Optimizing procedural outcomes in percutaneous mitral valve therapy using transesophageal imaging: A stepwise analysis

Leandro Slipczuk, Robert J. Siegel, Hasan Jilaihawi, Asma Hussaini, Saibal Kar

Research output: Contribution to journalReview articlepeer-review

7 Scopus citations

Abstract

Moderate or severe mitral regurgitation is the most common valve disease in the USA. Without treatment, severe mitral regurgitation has a 5-year survival rate of approximately 40%. Surgery plays a pivotal role in the treatment of these patients. However, close to 50% of patients can be denied surgery due to being deemed to be high risk. The pioneering work of St Goar led to the development of a catheter-based system, the MitraClip™, that percutaneously accomplishes the Alfieri's method. With this percutaneous technique, rather than sutures, one or two clips are placed under transesophageal guidance attaching the midportions of the anterior and posterior leaflets, creating a double mitral orifice. The procedure requires seven basic steps with strong collaboration between the interventional cardiologist and echocardiologist. This paper focuses on the role of echocardiography for patient selection and procedural guidance for the MitraClip insertion.

Original languageEnglish (US)
Pages (from-to)901-916
Number of pages16
JournalExpert Review of Cardiovascular Therapy
Volume10
Issue number7
DOIs
StatePublished - Jul 2012

Keywords

  • endovascular
  • EVEREST
  • MitraClip™
  • mitral clip
  • mitral regurgitation
  • mitral valve
  • percutaneous

ASJC Scopus subject areas

  • Internal Medicine
  • Cardiology and Cardiovascular Medicine

Fingerprint Dive into the research topics of 'Optimizing procedural outcomes in percutaneous mitral valve therapy using transesophageal imaging: A stepwise analysis'. Together they form a unique fingerprint.

Cite this