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Transcatheter Mitral Valve Repair: Current Status and Ongoing Clinical Trials (Saibal Kar, MD)
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- Опубліковано 15 лис 2023
- Dr. Karr talks in detail about the current outcomes and ongoing clinical trials of transcatheter mitral valve repair.
Objectives:
1. Review the current indications for transcatheter mitral valve regurgitation.
2. Review the current literature supporting indications.
3. Overview of ongoing clinical trial expansion of indications.
** This medical education program may contain graphic content. **
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I strongly advocate for mitral valve repair over the use of the Mitral clip, as surgical repair offers a more functional and physiologically effective restoration of mitral valve function.
EVEREST II shows that a percutaneous first option is safe, with less adverse events than upfront surgical option for primary MR. Worst case, surgery down the road in about 20% of patients treated with clip.
For Secondary MR, there is 0 data to support surgery at all, where as MitraClip is a historically beneficial intervention.