Published in:
01-10-2013
Using Imaging to Guide Patient Selection and Performance of Catheter-Based Mitral Valve Repair for Mitral Regurgitation
Author:
D. Scott Lim
Published in:
Journal of Cardiovascular Translational Research
|
Issue 5/2013
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Abstract
Percutaneous transcatheter therapies for mitral regurgitation have found a role for patients at high operative risk with both degenerative and functional pathologies. The MitraClip therapy utilizes a catheter-based system to deliver a clip-type implant to provide apposition between anterior and posterior mitral leaflets. Key to the procedure is using imaging to guide patient selection as well as intra-procedure performance. Careful patient selection remains paramount for success with the MitraClip, with imaging determination of appropriate mitral pathology. Technical success is dependent on skill with echocardiographic imaging, with three-dimensional transesophageal echocardiography particularly valuable.