Percutaneous Transcatheter Edge-to-Edge Mitral Valve Repair With MitraClip System in the Era of G4
The use of transcatheter edge-to-edge mitral valve repair (TEER) in symptomatic patients with severe mitral regurgitation (MR) has dramatically increased over the last few years. Current guidelines consider TEER as a reasonable option in symptomatic patients with primary or chronic secondary severe...
| Main Authors: | , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-03-01
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| Series: | Structural Heart |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2474870622019133 |
| _version_ | 1827989259708006400 |
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| author | Iria Silva, MD Pierre Yves Turgeon, MD Jean-Michel Paradis, MD Jonathan Beaudoin, MD Kim O’Connor, MD Julien Ternacle, MD, PhD Alberto Alperi, MD Vassili Panagides, MD Jules Mesnier, MD Caroline Gravel, RN Marie-Annick Clavel, DVM, PhD François Dagenais, MD Eric Dumont, MD Siamak Mohammadi, MD Philippe Pibarot, DVM, PhD Mathieu Bernier, MD Josep Rodés-Cabau, MD Erwan Salaun, MD, PhD |
| author_facet | Iria Silva, MD Pierre Yves Turgeon, MD Jean-Michel Paradis, MD Jonathan Beaudoin, MD Kim O’Connor, MD Julien Ternacle, MD, PhD Alberto Alperi, MD Vassili Panagides, MD Jules Mesnier, MD Caroline Gravel, RN Marie-Annick Clavel, DVM, PhD François Dagenais, MD Eric Dumont, MD Siamak Mohammadi, MD Philippe Pibarot, DVM, PhD Mathieu Bernier, MD Josep Rodés-Cabau, MD Erwan Salaun, MD, PhD |
| author_sort | Iria Silva, MD |
| collection | DOAJ |
| description | The use of transcatheter edge-to-edge mitral valve repair (TEER) in symptomatic patients with severe mitral regurgitation (MR) has dramatically increased over the last few years. Current guidelines consider TEER as a reasonable option in symptomatic patients with primary or chronic secondary severe MR with high or prohibitive surgical risk and favorable anatomy. However, several anatomical and morphological mitral features have restricted the use of this mini-invasive technique in its early experience. The latest fourth generation (G4) of the MitraClip system has been recently introduced and includes the possibility of independent leaflet grasping and 4 different sizes. This technical update offers the possibility of selecting and combining multiple devices for complex mitral valve anatomies and challenging procedures, which helps expand the applications of TEER. The present review describes the potential advantages and the help of the MitraClip G4 devices to overcome various anatomic and morphologic issues in challenging cases with complex primary and secondary MR procedures. |
| first_indexed | 2024-04-10T00:16:30Z |
| format | Article |
| id | doaj.art-5c88b929604f467e99fd0ffbd8ac8cd6 |
| institution | Directory Open Access Journal |
| issn | 2474-8706 |
| language | English |
| last_indexed | 2024-04-10T00:16:30Z |
| publishDate | 2023-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Structural Heart |
| spelling | doaj.art-5c88b929604f467e99fd0ffbd8ac8cd62023-03-16T05:05:54ZengElsevierStructural Heart2474-87062023-03-0172100114Percutaneous Transcatheter Edge-to-Edge Mitral Valve Repair With MitraClip System in the Era of G4Iria Silva, MD0Pierre Yves Turgeon, MD1Jean-Michel Paradis, MD2Jonathan Beaudoin, MD3Kim O’Connor, MD4Julien Ternacle, MD, PhD5Alberto Alperi, MD6Vassili Panagides, MD7Jules Mesnier, MD8Caroline Gravel, RN9Marie-Annick Clavel, DVM, PhD10François Dagenais, MD11Eric Dumont, MD12Siamak Mohammadi, MD13Philippe Pibarot, DVM, PhD14Mathieu Bernier, MD15Josep Rodés-Cabau, MD16Erwan Salaun, MD, PhD17Québec Heart and Lung Institute, Laval University, Québec City, Quebec, CanadaQuébec Heart and Lung Institute, Laval University, Québec City, Quebec, CanadaQuébec Heart and Lung Institute, Laval University, Québec City, Quebec, CanadaQuébec Heart and Lung Institute, Laval University, Québec City, Quebec, CanadaQuébec Heart and Lung Institute, Laval University, Québec City, Quebec, CanadaQuébec Heart and Lung Institute, Laval University, Québec City, Quebec, Canada; Haut-Lévêque Cardiology Hospital, University Hospital of Bordeaux, Pessac, FrancQuébec Heart and Lung Institute, Laval University, Québec City, Quebec, CanadaQuébec Heart and Lung Institute, Laval University, Québec City, Quebec, CanadaQuébec Heart and Lung Institute, Laval University, Québec City, Quebec, CanadaQuébec Heart and Lung Institute, Laval University, Québec City, Quebec, CanadaQuébec Heart and Lung Institute, Laval University, Québec City, Quebec, CanadaQuébec Heart and Lung Institute, Laval University, Québec City, Quebec, CanadaQuébec Heart and Lung Institute, Laval University, Québec City, Quebec, CanadaQuébec Heart and Lung Institute, Laval University, Québec City, Quebec, CanadaQuébec Heart and Lung Institute, Laval University, Québec City, Quebec, CanadaQuébec Heart and Lung Institute, Laval University, Québec City, Quebec, CanadaQuébec Heart and Lung Institute, Laval University, Québec City, Quebec, CanadaQuébec Heart and Lung Institute, Laval University, Québec City, Quebec, Canada; Address correspondence to: Erwan Salaun, MD, PhD, Institut Universitaire de Cardiologie et de Pneumologie de Québec, Quebec Heart & Lung Institute, Laval University, 2725 chemin Ste-Foy., Québec City, Québec G1V4G5, Canada.The use of transcatheter edge-to-edge mitral valve repair (TEER) in symptomatic patients with severe mitral regurgitation (MR) has dramatically increased over the last few years. Current guidelines consider TEER as a reasonable option in symptomatic patients with primary or chronic secondary severe MR with high or prohibitive surgical risk and favorable anatomy. However, several anatomical and morphological mitral features have restricted the use of this mini-invasive technique in its early experience. The latest fourth generation (G4) of the MitraClip system has been recently introduced and includes the possibility of independent leaflet grasping and 4 different sizes. This technical update offers the possibility of selecting and combining multiple devices for complex mitral valve anatomies and challenging procedures, which helps expand the applications of TEER. The present review describes the potential advantages and the help of the MitraClip G4 devices to overcome various anatomic and morphologic issues in challenging cases with complex primary and secondary MR procedures.http://www.sciencedirect.com/science/article/pii/S2474870622019133EchocardiographyMitral regurgitationTranscatheter edge-to-edge repair |
| spellingShingle | Iria Silva, MD Pierre Yves Turgeon, MD Jean-Michel Paradis, MD Jonathan Beaudoin, MD Kim O’Connor, MD Julien Ternacle, MD, PhD Alberto Alperi, MD Vassili Panagides, MD Jules Mesnier, MD Caroline Gravel, RN Marie-Annick Clavel, DVM, PhD François Dagenais, MD Eric Dumont, MD Siamak Mohammadi, MD Philippe Pibarot, DVM, PhD Mathieu Bernier, MD Josep Rodés-Cabau, MD Erwan Salaun, MD, PhD Percutaneous Transcatheter Edge-to-Edge Mitral Valve Repair With MitraClip System in the Era of G4 Structural Heart Echocardiography Mitral regurgitation Transcatheter edge-to-edge repair |
| title | Percutaneous Transcatheter Edge-to-Edge Mitral Valve Repair With MitraClip System in the Era of G4 |
| title_full | Percutaneous Transcatheter Edge-to-Edge Mitral Valve Repair With MitraClip System in the Era of G4 |
| title_fullStr | Percutaneous Transcatheter Edge-to-Edge Mitral Valve Repair With MitraClip System in the Era of G4 |
| title_full_unstemmed | Percutaneous Transcatheter Edge-to-Edge Mitral Valve Repair With MitraClip System in the Era of G4 |
| title_short | Percutaneous Transcatheter Edge-to-Edge Mitral Valve Repair With MitraClip System in the Era of G4 |
| title_sort | percutaneous transcatheter edge to edge mitral valve repair with mitraclip system in the era of g4 |
| topic | Echocardiography Mitral regurgitation Transcatheter edge-to-edge repair |
| url | http://www.sciencedirect.com/science/article/pii/S2474870622019133 |
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