Current problems in cardiology · 2022
Percutaneous Repair of Mitral Regurgitation: A Comprehensive Review of Literature.
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Salehin Salman, Hasan Syed Mustajab, Mai Steven, Rasmussen Peter, Shahzad Ahmad, Abdelmaseih Ramy, Jazar Deaa Abu, Shalaby Mostafa, Motiwala Afaq, Gilani Syed, Khalife Wissam I
Аннотация
Mitral regurgitation is the most common valvular disease in the US and the second most common worldwide. Left untreated, it can lead to the development of heart failure, giving rise to increased mortality rates. Mitral valve intervention is usually indicated in severe mitral regurgitation at the onset of symptoms, even if the function of the left ventricle is preserved. A surgical approach is generally favored according to current guidelines, with excellent clinical outcomes. However, the emergence of novel data from contemporary trials indicates that percutaneous, catheter-based approach may have similar improvements in mortality outcomes while maintaining a superior safety profile when compared to the surgical approach. Here, we discuss transcatheter mitral valve repair as a treatment option for mitral regurgitation and summarize the major clinical trials which were recently conducted on transcatheter repair.