Skip to main content

Techniques and Devices

  • Chapter
  • First Online:
  • 847 Accesses

Abstract

Due to an increased understanding of the functional anatomy of the mitral valve (MV) and the heterogeneous pathophysiology of mitral regurgitation (MR), over the past two decades, a huge variety of percutaneous treatment for MR have been successfully developed to treat high-risk patients who are usually not surgical candidate. In most cases, they represent the noninvasive conversion of a surgical procedure into a percutaneous one.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   139.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   179.00
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Bibliography

  1. Carpentier A. Cardiac valve surgery – the “French correction”. J Thorac Cardiovasc Surg. 1983;86(3):323–37.

    CAS  PubMed  Google Scholar 

  2. Harnek J, Webb JG, Kuck KH, Tschope C, Vahanian A, Buller CE, et al. Transcatheter implantation of the MONARC coronary sinus device for mitral regurgitation: 1-year results from the EVOLUTION phase I study (Clinical Evaluation of the Edwards Lifesciences Percutaneous Mitral Annuloplasty System for the Treatment of Mitral Regurgitation). JACC Cardiovasc Interv. 2011;4(1):115–22.

    Article  PubMed  Google Scholar 

  3. Siminiak T, Hoppe UC, Schofer J, Haude M, Herrman JP, Vainer J, et al. Effectiveness and safety of percutaneous coronary sinus-based mitral valve repair in patients with dilated cardiomyopathy (from the AMADEUS trial). Am J Cardiol. 2009;104(4):565–70.

    Article  PubMed  Google Scholar 

  4. Siminiak T, Wu JC, Haude M, Hoppe UC, Sadowski J, Lipiecki J, et al. Treatment of functional mitral regurgitation by percutaneous annuloplasty: results of the TITAN Trial. Eur J Heart Fail. 2012;14(8):931–8.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Hoppe UC, Brandt MC, Degen H, Dodos F, Schneider T, Stoepel C, et al. Percutaneous mitral annuloplasty device leaves free access to cardiac veins for resynchronization therapy. Cathet Cardiovasc Interv: Off J Soc Card Angiography Interv. 2009;74(3):506–11.

    Article  Google Scholar 

  6. Maisano F, Vanermen H, Seeburger J, Mack M, Falk V, Denti P, et al. Direct access transcatheter mitral annuloplasty with a sutureless and adjustable device: preclinical experience. Eur J Cardiothorac Surg: Off J Eur Assoc Cardiothorac Surg. 2012;42(3):524–9.

    Article  Google Scholar 

  7. Maisano F, La Canna G, Latib A, Denti P, Taramasso M, Kuck KH, et al. First-in-man transseptal implantation of a “surgical-like” mitral valve annuloplasty device for functional mitral regurgitation. JACC Cardiovasc Interv. 2014;7(11):1326–8.

    Article  PubMed  Google Scholar 

  8. Alfieri O, Maisano F, De Bonis M, Stefano PL, Torracca L, Oppizzi M, et al. The double-orifice technique in mitral valve repair: a simple solution for complex problems. J Thorac Cardiovasc Surg. 2001;122(4):674–81.

    Article  CAS  PubMed  Google Scholar 

  9. Webb JG, Maisano F, Vahanian A, Munt B, Naqvi TZ, Bonan R, et al. Percutaneous suture edge-to-edge repair of the mitral valve. EuroIntervention: J EuroPCR Collab Work Group Interv Cardiol EurSoc. 2009;5(1):86–9.

    Article  Google Scholar 

  10. Ussia GP, Barbanti M, Tamburino C. Feasibility of percutaneous transcatheter mitral valve repair with the MitraClip system using conscious sedation. Cathet Cardiovasc Interv: Off J Soc Card Angiography Interv. 2010;75(7):1137–40.

    Google Scholar 

  11. Maisano F, Godino C, Giacomini A, Denti P, Arendar I, Buzzatti N, et al. Clinical trial experience with the MitraClip catheter based mitral valve repair system. Int J Cardiovasc Imaging. 2011;27(8):1155–64.

    Article  PubMed  Google Scholar 

  12. Feldman T, Kar S, Rinaldi M, Fail P, Hermiller J, Smalling R, et al. Percutaneous mitral repair with the MitraClip system: safety and midterm durability in the initial EVEREST (Endovascular Valve Edge-to-Edge REpair Study) cohort. J Am Coll Cardiol. 2009;54(8):686–94.

    Article  PubMed  Google Scholar 

  13. Mauri L, Foster E, Glower DD, Apruzzese P, Massaro JM, Herrmann HC, et al. 4-year results of a randomized controlled trial of percutaneous repair versus surgery for mitral regurgitation. J Am Coll Cardiol. 2013;62(4):317–28.

    Article  PubMed  Google Scholar 

  14. Maisano F, Franzen O, Baldus S, Schafer U, Hausleiter J, Butter C, et al. Percutaneous mitral valve interventions in the real world: early and 1-year results from the ACCESS-EU, a prospective, multicenter, nonrandomized post-approval study of the MitraClip therapy in Europe. J Am Coll Cardiol. 2013;62(12):1052–61.

    Article  PubMed  Google Scholar 

  15. Vahanian A, Alfieri O, Andreotti F, Antunes MJ, Baron-Esquivias G, Baumgartner H, et al. Guidelines on the management of valvular heart disease (version 2012). The joint task force on the management of valvular heart disease of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS). G Ital Cardiol. 2013;14(3):167–214.

    Google Scholar 

  16. Nishimura RA, Otto CM, Bonow RO, Carabello BA, Erwin 3rd JP, Guyton RA, et al. 2014 AHA/ACC guideline for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol. 2014;63(22):e57–185.

    Article  PubMed  Google Scholar 

  17. Yancy CW, Jessup M, Bozkurt B, Butler J, Casey Jr DE, Drazner MH, et al. 2013 ACCF/AHA guideline for the management of heart failure: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol. 2013;62(16):e147–239.

    Article  PubMed  Google Scholar 

  18. McMurray JJ, Adamopoulos S, Anker SD, Auricchio A, Bohm M, Dickstein K, et al. ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure 2012: the task force for the diagnosis and treatment of acute and chronic heart failure 2012 of the European Society of Cardiology. Developed in collaboration with the Heart Failure Association (HFA) of the ESC. Eur Heart J. 2012;33(14):1787–847.

    Article  PubMed  Google Scholar 

  19. Williams JL, Toyoda Y, Ota T, Gutkin D, Katz W, Zenati M, et al. Feasibility of myxomatous mitral valve repair using direct leaflet and chordal radiofrequency ablation. J Interv Cardiol. 2008;21(6):547–54.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Seeburger J, Rinaldi M, Nielsen SL, Salizzoni S, Lange R, Schoenburg M, et al. Off-pump transapical implantation of artificial neo-chordae to correct mitral regurgitation: the TACT Trial (Transapical Artificial Chordae Tendinae) proof of concept. J Am Coll Cardiol. 2014;63(9):914–9.

    Article  PubMed  Google Scholar 

  21. Grossi EA, Woo YJ, Patel N, Goldberg JD, Schwartz CF, Subramanian VA, et al. Outcomes of coronary artery bypass grafting and reduction annuloplasty for functional ischemic mitral regurgitation: a prospective multicenter study (Randomized Evaluation of a Surgical Treatment for Off-Pump Repair of the Mitral Valve). J Thorac Cardiovasc Surg. 2011;141(1):91–7.

    Article  PubMed  Google Scholar 

  22. Lawrie GM. Mitral valve: toward complete repairability. Surg Technol Int. 2006;15:189–97.

    PubMed  Google Scholar 

  23. Seiffert M, Conradi L, Baldus S, Schirmer J, Knap M, Blankenberg S, et al. Transcatheter mitral valve-in-valve implantation in patients with degenerated bioprostheses. JACC Cardiovasc Interv. 2012;5(3):341–9.

    Article  PubMed  Google Scholar 

  24. Seiffert M, Franzen O, Conradi L, Baldus S, Schirmer J, Meinertz T, et al. Series of transcatheter valve-in-valve implantations in high-risk patients with degenerated bioprostheses in aortic and mitral position. Cathet Cardiovasc Interv: Off J Soc Card Angiography Interv. 2010;76(4):608–15.

    Article  Google Scholar 

  25. Nunez-Gil IJ, Goncalves A, Rodriguez E, Cobiella J, Marcos-Alberca P, Maroto L, et al. Transapical mitral valve-in-valve implantation: a novel approach guided by three-dimensional transoesophageal echocardiography. Eur J Echocardiogr: J Work Group Echocardiogr Eur Soc. 2011;12(4):335–7.

    Google Scholar 

  26. Cheung AW, Gurvitch R, Ye J, Wood D, Lichtenstein SV, Thompson C, et al. Transcatheter transapical mitral valve-in-valve implantations for a failed bioprosthesis: a case series. J Thorac Cardiovasc Surg. 2011;141(3):711–5.

    Article  PubMed  Google Scholar 

  27. de Weger A, Ewe SH, Delgado V, Bax JJ. First-in-man implantation of a trans-catheter aortic valve in a mitral annuloplasty ring: novel treatment modality for failed mitral valve repair. Eur J Cardiothorac Surg: Off J Eur Assoc Cardiothorac Surg. 2011;39(6):1054–6.

    Article  Google Scholar 

  28. Maisano F, Reser D, Pavicevic J, Nietlispach F, Gamperli O, Schmid M, et al. Successful first-in-man Melody transcatheter valve implant in a dehisced mitral annuloplasty ring transapical valve-in-ring implant. EuroIntervention: J EuroPCR Collab Work Group Interv Cardiol Eur Soc Cardiol. 2014;10(8):961–7.

    Article  Google Scholar 

  29. Kliger C, Al-Badri A, Wilson S, Weiss D, Jelnin V, Kronzon I, et al. Successful first-in-man percutaneous transapical-transseptal Melody mitral valve-in-ring implantation after complicated closure of a para-annular ring leak. EuroIntervention: J EuroPCR Collab Work Group Interv Cardiol Eur Soc Cardiol. 2014;10(8):968–74.

    Article  Google Scholar 

  30. Rabbah JP, Saikrishnan N, Siefert AW, Santhanakrishnan A, Yoganathan AP. Mechanics of healthy and functionally diseased mitral valves: a critical review. J Biomech Eng. 2013;135(2):021007.

    Article  PubMed  Google Scholar 

  31. Jensen MO, Hagege AA, Otsuji Y, Levine RA, Leducq Transatlantic MN. The unsaddled annulus: biomechanical culprit in mitral valve prolapse? Circulation. 2013;127(7):766–8.

    Article  PubMed  PubMed Central  Google Scholar 

  32. Maisano F, Alfieri O, Banai S, Buchbinder M, Colombo A, Falk V, et al. The future of transcatheter mitral valve interventions: competitive or complementary role of repair vs. replacement? Eur Heart J. 2015.

    Google Scholar 

  33. Brockenbrough EC, Braunwald E, Ross Jr J. Transseptal left heart catheterization. A review of 450 studies and description of an improved technic. Circulation. 1962;25:15–21.

    Article  CAS  PubMed  Google Scholar 

  34. Sakata Y, Feldman T. Transcatheter creation of atrial septal perforation using a radiofrequency transseptal system: novel approach as an alternative to transseptal needle puncture. Cathet Cardiovasc Interv: Off J Soc Card Angiography Interv. 2005;64(3):327–32.

    Article  Google Scholar 

  35. Maisano F, La Canna G, Latib A, Godino C, Denti P, Buzzatti N, et al. Transseptal access for MitraClip(R) procedures using surgical diathermy under echocardiographic guidance. EuroIntervention: J EuroPCR Collab Work Group Interv Cardiol EurSoc. 2012;8(5):579–86.

    Article  Google Scholar 

  36. Feldman T, Young A. Percutaneous approaches to valve repair for mitral regurgitation. J Am Coll Cardiol. 2014;63:2057–68.

    Article  PubMed  Google Scholar 

  37. Vahanian A, et al. Guidelines on the management of valvular heart disease (version 2012). Eur Heart J. 2012;33(19):2451–96.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Alessandro Candreva .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Candreva, A., Taramasso, M., Maisano, F. (2017). Techniques and Devices. In: Reimers, B., Moussa, I., Pacchioni, A. (eds) Percutaneous Interventions for Structural Heart Disease. Springer, Cham. https://doi.org/10.1007/978-3-319-43757-6_10

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-43757-6_10

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-43755-2

  • Online ISBN: 978-3-319-43757-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics