Transcatheter Mitral Valves, An Issue of Interventional Cardiology Clinics

1st Edition, Volume 13-2 - March 5, 2024
Editors: Firas Zahr, Marvin H. Eng
Language: English
Hardback ISBN:
9 7 8 - 0 - 4 4 3 - 1 3 0 9 3 - 9
eBook ISBN:
9 7 8 - 0 - 4 4 3 - 1 3 0 9 4 - 6

In this issue of Interventional Cardiology Clinics, guest editors Drs. Firas Zahr and Marvin Eng bring their considerable expertise to the topic of Transcatheter Mitral Valves. T… Read more

Transcatheter Mitral Valves, An Issue of Interventional Cardiology Clinics

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In this issue of Interventional Cardiology Clinics, guest editors Drs. Firas Zahr and Marvin Eng bring their considerable expertise to the topic of Transcatheter Mitral Valves. Top experts in the field cover surgical therapy for mitral valve dysfunction; transcatheter edge-to-edge repair for degenerative mitral regurgitation; functional mitral regurgitation: patient selection and optimization; treating mitral regurgitation beyond high-risk and inoperable patients; and much more.

Cover image
Title page
Table of Contents
Copyright
Contributors
Forthcoming Issues
Preface
Imaging of the Mitral Valve
Key points
Introduction
Summary
Mitral Transcatheter Edge-to-Edge Repair: Advancing Treatment Options for Degenerative Mitral Regurgitation
Key points
Introduction
Patient evaluation
Patient selection
Commercially approved devices
PASCAL system
Clinical trial evidence for mitral transcatheter edge-to-edge repair
Suitable versus unsuitable anatomy for mitral transcatheter edge-to-edge repair
Transesophageal echocardiogram versus intracardiac echocardiography-guided transcatheter edge to edge repair, emerging imaging modalities
Summary
Clinics care points
Functional Mitral Regurgitation: Patient Selection and Optimization
Key points
Introduction: Burden and Prognosis Across Spectrum of Heart Failure
Different mechanisms and pathophysiologic consequences
Diagnosis of functional mitral regurgitation
Medical management of functional mitral regurgitation
Limited data for surgical mitral valve repair or replacement
Use of transcatheter edge-to-edge repair for percutaneous mitral valve repair
Patient selection: the optimal timing, hemodynamic phenotyping, and risk stratification
Patient selection: clinical considerations
Patient selection: anatomical considerations
Future directions: expanding criteria
Future directions: new device platforms
Summary
Clinics care points
Functional Mitral Regurgitation: Transcatheter Therapy
Key points
Introduction
The mitral valve and pathophysiology of secondary mitral regurgitation
Therapeutic targets for the treatment of secondary mitral regurgitation
Data on transcatheter therapies for secondary mitral regurgitation
Summary
Clinics care points
Mitral Regurgitation Complicated by Cardiogenic Shock: Reassessing Risk Stratification and Therapeutic Strategies
Key points
Introduction
Risk stratification & initial management
Definitive management
The future of definitive management
Summary
Clinics care points
Postsurgical Transcatheter Mitral Valve Replacement
Key points
Introduction
Anatomic challenges of transcatheter mitral valve replacement
Mitral valve-in-valve versus redo surgical mitral valve replacement outcomes
Patient evaluation for post-surgical mitral valve-in-valve
Mitral valve-in-valve access and delivery
Patient evaluation for mitral valve-in-ring
Mitral valve-in-ring access and delivery
Mitigating left ventricular outflow tract obstruction risk
Managing posttranscatheter mitral valve replacement complications
Summary
Clinics care points
Left Ventricular Outflow Tract Modification for Transcatheter Mitral Valve Replacement
Key points
Introduction
Mechanism of left ventricular outflow tract obstruction after transcatheter mitral valve replacement
Risk prediction
Left ventricular outflow tract modification techniques
Algorithm
Summary
Clinics care points
Orthotopic Transcatheter Mitral Valve Replacement
Key points
Background
Transcatheter mitral valve replacement keys to success
Transcatheter mitral valve replacement: Transcatheter heart valves in development
Future directions
Summary
Clinics care points
Transcatheter Mitral Valve Therapies in Patients with Mitral Annular Calcification
Key points
Introduction
Surgical management of mitral annular calcification with valvular dysfunction
Transcatheter management of mitral annular calcification with valvular dysfunction
Challenges associated with transcatheter mitral valve replacement
Summary
Clinics care points
Transcatheter Mitral Annuloplasty: Carillon Device
Key points
Introduction
Anatomic pathology of functional mitral regurgitation
Design and deployment
Cardiac computed tomography analysis
Summary of the clinical evidence
Edge-to-edge mitral valve repair versus indirect annuloplasty for atrial functional mitral regurgitation
Future Carillon trials
The Empower trial
Summary
Clinics care points
Minimally Invasive Mitral Valve Repair Using Transcatheter Chordal Attachments
Key points
Introduction
Anatomy and pathophysiology
Surgical mitral valve repair
Transcatheter mitral valve repair
Transcatheter chordal replacement
Transcatheter leaflet augmentation systems
Transapical chordal replacement systems
Transcatheter chordal replacement systems
Preclinical systems
Summary
Clinics care points
Transcatheter Therapy for Mitral Valve Stenosis
Key points
Introduction
Treatment of rheumatic mitral stenosis
Balloon mitral valvotomy
Transcather mitral valve replacement for rheumatic mitral stenosis
Treatment of non-rheumatic mitral stenosis
Transcather mitral valve replacement for non-rheumatic mitral stenosis
Summary
Clinics care points
Transcatheter Treatment of Mitral Valve Regurgitation in the Setting of Concomitant Coronary or Multivalvular Heart Disease: A Focused Review
Key points
Introduction
Aortic stenosis and mitral regurgitation
Aortic regurgitation and mitral regurgitation
Tricuspid regurgitation and mitral regurgitation
Ischemic (coronary artery disease) mitral regurgitation
Summary
Clinics care points

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Transcatheter Mitral Valves, An Issue of Interventional Cardiology Clinics

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Firas Zahr

Marvin H. Eng