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Percutaneous Edge-to-Edge Mitral Valve Repair

Korean Circulation Journal 2020년 50권 11호 p.961 ~ 973
Yeo Khung Keong, Wong Ningyan,
소속 상세정보
 ( Yeo Khung Keong ) - National Heart Centre Singapore
 ( Wong Ningyan ) - National Heart Centre Singapore

Abstract


Percutaneous edge-to-edge mitral valve repair, using the MitraClip device for severe mitral regurgitation (MR) was first introduced in 2003. Since then, more than 100,000 cases have been performed worldwide and it remains the most established percutaneous therapy available for the treatment of severe MR. Currently, it is indicated for severe, symptomatic functional MR in patients who continue to have significant symptoms despite optimal guideline directed medical therapy, as well as in symptomatic patients with severe degenerative MR who are deemed too high risk for conventional surgical therapy in the opinion of the heart team. In this paper, we discuss the evolution of the MitraClip device, the clinical studies supporting its use as well as the important concept of proportionate and disproportionate MR.

키워드

Mitral regurgitation; Percutaneous mitral valve repair

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