Percutaneous interventional mitral regurgitation treatment using the Mitra-Clip system

The interventional treatment of mitral valve regurgitation by the MitraClip procedure has grown rapidly in Germany and Europe during the past years. The MitraClip procedure has the potential to treat high-risk patients with secondary mitral valve regurgitation and poor left ventricular function. Fur...

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Bibliographic Details
Published in:Clinical research in cardiology 2014-02, Vol.103 (2), p.85-96
Main Authors: Boekstegers, P., Hausleiter, J., Baldus, S., von Bardeleben, R. S., Beucher, H., Butter, C., Franzen, O., Hoffmann, R., Ince, H., Kuck, K. H., Rudolph, V., Schäfer, U., Schillinger, W., Wunderlich, N.
Format: Article
Language:English
Subjects:
Cardiac Catheterization - adverse effects
Cardiac Catheterization - instrumentation
Cardiac Catheterization - standards
Cardiology
Consensus
Echocardiography, Three-Dimensional
Echocardiography, Transesophageal
Heart Valve Prosthesis - standards
Heart Valve Prosthesis Implantation - adverse effects
Heart Valve Prosthesis Implantation - instrumentation
Heart Valve Prosthesis Implantation - standards
Humans
Medicine
Medicine & Public Health
Mitral Valve - diagnostic imaging
Mitral Valve - physiopathology
Mitral Valve Insufficiency - diagnosis
Mitral Valve Insufficiency - physiopathology
Mitral Valve Insufficiency - therapy
Patient Selection
Prosthesis Design
Review
Risk Assessment
Risk Factors
Treatment Outcome
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Summary:The interventional treatment of mitral valve regurgitation by the MitraClip procedure has grown rapidly in Germany and Europe during the past years. The MitraClip procedure has the potential to treat high-risk patients with secondary mitral valve regurgitation and poor left ventricular function. Furthermore, patients with primary mitral valve regurgitation may be treated successfully by the MitraClip procedure in case of high surgical risk or in very old patients. At the same time it has been emphasised that the MitraClip interventional treatment is still at an early stage of clinical development. The largest clinical experience with the MitraClip procedure so far is probably present in some German cardiovascular centers, which here summarise their recommendations on the current indications and procedural steps of the MitraClip treatment. These recommendations of the AGIK and ALKK may present a basis for future development.
ISSN:1861-0684
1861-0692
DOI:10.1007/s00392-013-0614-x