Abstract
Edge-to-edge repair has been used as a surgical technique in open-chest, arrested heart surgery for the treatment of mitral regurgitation (MR) since the early 1990s. With this technique, a portion of the anterior leaflet is sutured to the corresponding portion of the posterior leaflet, creating a point of permanent approximation of the two leaflets and resulting in a double orifice. Mitral valve repair with the MitraClip™ system (Abbott Vascular, Santa Clara, CA, USA) consists of applying a clip at the site of mitral regurgitation, thereby faithfully reproducing the edge-to-edge surgical technique described by Alfieri. To date, more than 35,000 patients have been treated worldwide.
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References
Wan B, Rahnavardi M, Tian DH, Phan K, Munkholm-Larsen S, Bannon PG, Yan TD. A meta-analysis of MitraClip system versus surgery for treatment of severe mitral regurgitation. Ann Cardiothorac Surg. 2013;2(6):683–92. doi:10.3978/j.issn.2225-319X.2013.11.02.
D’ascenzo F, Moretti C, Marra WG, Montefusco A, Omede P, Taha S, Castagno D, Gaemperli O, Taramasso M, Frea S, Pidello S, Rudolph V, Franzen O, Braun D, Giannini C, Ince H, Perl L, Zoccai G, Marra S, D’Amico M, Maisano F, Rinaldi M, Gaita F. Meta-analysis of the usefulness of Mitraclip in patients with functional mitral regurgitation. Am J Cardiol. 2015;116(2):325–31. doi:10.1016/j.amjcard.2015.04.025.
Joint Task Force on the Management of Valvular Heart Disease of the European Society of Cardiology (ESC), European Association for Cardio-Thoracic Surgery (EACTS), Vahanian A, Alfieri O, Andreotti F, Antunes MJ, Barón-Esquivias G, Baumgartner H, Borger MA, Carrel TP, De Bonis M, Evangelista A, Falk V, Iung B, Lancellotti P, Pierard L, Price S, Schäfers HJ, Schuler G, Stepinska J, Swedberg K, Takkenberg J, Von Oppell UO, Windecker S, Zamorano JL, Zembala M. Guidelines on the management of valvular heart disease (version 2012). Eur Heart J. 2012;33(19):2451–96. doi:10.1093/eurheartj/ehs109.
Feldman T, Wasserman HS, Herrmann HC, et al. Percutaneous mitral valve repair using the edge-to-edge technique: six-month results of the EVEREST phase I clinical trial. J Am Coll Cardiol. 2006;46:2134–40.
Silvestry FE, Rodriguez LL, Herrmann HC, et al. Echocardiographic guidance and assessment of percutaneous repair for mitral regurgitation with the Evalve MitraClip: lessons learned from EVEREST I. J Am Soc Echocardiogr. 2007;20:1131–40.
Herrmann HC, Kar S, Siegal R, et al. Effect of percutaneous mitral repair with the MitraClip device on mitral valve area and gradient. EuroIntervention. 2009;4:437–42.
De Bonis M, Lapenna E, La Canna G, et al. Mitral valve repair for functional mitral regurgitation in end-stage dilated cardiomyopathy. Circulation. 2005;112:402–8.
Wunderlich NC, Siegel RJ. Peri-interventional echo assessment for the MitraClip procedure. Eur Heart J Cardiovasc Imaging. 2013;14(10):935–49. doi:10.1093/ehjci/jet060.
Attizzani GF, Ohno Y, Capodanno D, Cannata S, Dipasqua F, Immé S, Mangiafico S, Barbanti M, Ministeri M, Cageggi A, Pistritto AM, Giaquinta S, Farruggio S, Chiarandà M, Ronsivalle G, Schnell A, Scandura S, Tamburino C, Capranzano P, Grasso C. Extended use of percutaneous edge-to-edge mitral valve repair beyond EVEREST (Endovascular Valve Edge-to-Edge Repair) criteria: 30-day and 12-month clinical and echocardiographic outcomes from the GRASP (Getting Reduction of Mitral Insufficiency by Percutaneous Clip Implantation) registry. JACC Cardiovasc Interv. 2015;8(1 Pt A):74–82. doi:10.1016/j.jcin.2014.07.024.
Adamo M, Chiari E, Curello S, Maiandi C, Chizzola G, Fiorina C, Frontini M, Cuminetti G, Pezzotti E, Rovetta R, Lombardi CM, Manzato A, Metra M, Ettori F. Mitraclip therapy in patients with functional mitral regurgitation and missing leaflet coaptation: is it still an exclusion criterion? Eur J Heart Fail. 2016;18(10):1278–86. doi:10.1002/ejhf.520.
Zamorano JL, Badano LP, Bruce C, et al. EAE/ASE recommendations for the use of echocardiography in new transcatheter interventions for valvular heart disease. J Am Soc Echocardiogr. 2011;24:937–65.
Biner S, Perk G, Saibal K, et al. Utility of combined two-dimensional and three-dimensional transesophageal imaging for catheter-based mitral valve clip repair of mitral regurgitation. J Am Soc Echocardiogr. 2011;24:611–7.
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Grasso, C., Di Salvo, M.E., Scandura, S., Buccheri, S. (2018). Transcatheter Repair of Mitral Regurgitation: Abbott Vascular MitraClip. In: Tamburino, C., Barbanti, M., Capodanno, D. (eds) Percutaneous Treatment of Left Side Cardiac Valves. Springer, Cham. https://doi.org/10.1007/978-3-319-59620-4_7
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DOI: https://doi.org/10.1007/978-3-319-59620-4_7
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