2022, Number 3
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Cir Card Mex 2022; 7 (3)
Annuloplasty ring as a sine qua non condition in mitral valve repair renders transcatheter edge-toedge repair an imperfect technique to treat mitral valve regurgitation
García-Villarreal OA
Language: Spanish
References: 36
Page: 50-54
PDF size: 284.18 Kb.
ABSTRACT
Transcatheter edge-to-edge mitral valve repair to treat
mitral regurgitation, has emerged as one of the most impactful
cutting-edge technologies in structural interventional
cardiology in recent years. Surgical edge-to-edge
mitral valve repair underpins the concept of transcatheter
edge-to-edge mitral valve repair. However, of particular
importance, is the main difference between both
techniques. While the annuloplasty ring is a sine qua non
condition for surgical mitral valve repair, the transcatheter
edge-to-edge mitral valve repair is a ringless therapy.
Therefore, the transcatheter edge-to-edge mitral valve
repair is only a partially effective treatment for mitral
regurgitation, especially in the long-term. As yet, the criteria
governing the use of the transcatheter edge-to-edge
mitral valve repair as an isolated procedure without annuloplasty
ring, are practically unknown. Hence, special
emphasis should be devoted on the potential implications
that an imperfect technique such as transcatheter
edge-to-edge therapy may have on patient's survival,
quality of life and unplanned rehospitalization for heart
failure rates in the long-term.
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