Echocardiographic Guidance and Assessment of Percutaneous Repair for Mitral Regurgitation With the Evalve MitraClip: Lessons Learned From EVEREST I

Robotic Mitral Valve Repair for All Categories of Leaflet Prolapse: Improving Patient Appeal and Advancing Standard of Care

“…2 Rather than expecting that the intricate judgmentbased maneuvers of MV repair might be reproduced using a catheter, we considered the use of proven surgical techniques via minimally invasive incisions to present an opportunity to maintain known outcomes while improving patient acceptance and clinical compliance with guidelines recommending early MV repair. The purpose of our study was to determine whether a robot-assisted, minimally invasive MV repair might be safely performed using all conventional open-repair techniques.…”

Transcathether Valve Replacement and Valve Repair

“…MitraClip detachment can be avoided by careful systematic assessment of leaflet insertion before complete clip closure and final assessment of adequacy of MR reduction. 97 In addition, entrapment of chordal apparatus can be detected by leaflet tethering in excess of that expected with the MitraClip and may contribute to excessive reduction in mitral valve area and increase in mean gradients. The expected reduction in mitral valve area compared with the patient's baseline is ≈40% but was greater for function MR patients compared with degenerative MR patients.…”

Peri-procedural imaging for transcatheter mitral valve replacement

“…Current strategies including leaflet repair (13)(14)(15)(16)(17), annuloplasty (18)(19)(20)(21)(22), percutaneous LV remodeling devices (23) have been reviewed in recent papers.…”