The double-orifice technique in mitral valve repair: A simple solution for complex problems

Abstract

The effectiveness and durability of the central double-orifice technique were assessed in this study. This type of repair can be a useful addition to the surgical armamentarium in mitral valve reconstruction.

SCAI/AATS/ACC/STS operator and institutional requirements for transcatheter valve repair and replacement. Part II. Mitral valve

“…This approach is based on the surgical technique described by Alfieri et al and has been used for a variety of pathologic MR disease states [22,23]. By far the greatest transcatheter experience to date has been with the MitraClip (Abbott Vascular, Santa Clara, CA), the clinical results of which were published in the EVEREST I and II trials and the continued access REALISM registry [23][24][25].…”

Redução anular intermitente com plastia de Alfieri no tratamento da insuficiência mitral em crianças: resultados iniciais

“…This technique gained wide acceptance in the literature because of its applicability, reproducibility, and excellent early and late results in patients with mitral failure of various etiologies, including difficult-to-treat cases [20,21]. The Alfieri's concept was also adapted to be performed through percutaneous approach [22] but these results were not satisfactory for this method, probably due to the performance of concomitant annuloplasty, a factor seen as essential for success of the technique [23].…”

Percutaneous Mitral Valve Repair

“…The utility of the edge-to-edge technique as a stand-alone procedure is debated in the surgical literature. There are favorable reports, 7 but others have indicated suboptimal midterm results for the edge-to-edge technique, especially in patients with ischemic MR when performed without an annuloplasty. 10 -12 This surgical experience has important implications for all percutaneous technologies.…”