BOOK
Transcatheter Mitral Valve Intervention, An Issue of Interventional Cardiology Clinics, E-Book
(2016)
Additional Information
Book Details
Abstract
This issue of the Interventional Cardiology Clinics edited by Jason Rogers covers various approaches, techniques, and therapies for Transcatheter Mitral Value Intervention. Topics include, but are not limited to: Echocardiographic Imaging of the Mitral Valve for Transcatheter Interventions, Use of Computed Tomography to Guide Mitral Interventions, Transseptal Puncture for Mitral Interventions, MitraClip Therapy for Mitral Regurgitation: Primary MR, Coronary Sinus-Based Approach to Mitral Regurgitation, and Transcatheter Mitral Valve Replacement.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| INTERVENTIONAL CARDIOLOGY CLINICS | i | ||
| Copyright | ii | ||
| CONTRIBUTORS | iii | ||
| EDITOR-IN-CHIEF | iii | ||
| EDITOR | iii | ||
| AUTHORS | iii | ||
| CONTENTS | v | ||
| Preface: A Revolution in Transcatheter Mitral Valve Intervention\r | v | ||
| Anatomy and Function of the Normal and Diseased Mitral Apparatus: Implications for Transcatheter Therapy\r | v | ||
| Echocardiographic Imaging of the Mitral Valve for Transcatheter Edge-to-Edge Repair\r | v | ||
| Use of Computed Tomography to Guide Mitral Interventions\r | v | ||
| Mitral Paravalvular Leak Closure\r | vi | ||
| Targeted Transseptal Access for MitraClip Percutaneous Mitral Valve Repair\r | vi | ||
| MitraClip Therapy for Mitral Regurgitation: Primary Mitral Regurgitation\r | vi | ||
| MitraClip Therapy for Mitral Regurgitation: Secondary Mitral Regurgitation\r | vi | ||
| Coronary Sinus-Based Approach to Mitral Regurgitation\r | vii | ||
| Percutaneous Mitral Annuloplasty \r | vii | ||
| Transcatheter Mitral Valve Replacement\r | vii | ||
| Transcatheter Mitral Valve-in-Valve Therapy\r | vii | ||
| TRANSCATHETER MITRAL VALVE INTERVENTION | viii | ||
| FORTHCOMING ISSUES | viii | ||
| RECENT ISSUES | viii | ||
| Preface: A Revolution in Transcatheter Mitral Valve Intervention \r | ix | ||
| Anatomy and Function of the Normal and Diseased Mitral Apparatus | 1 | ||
| KEY POINTS | 1 | ||
| MITRAL VALVE ANATOMY, PATHOANATOMY, AND FUNCTION | 1 | ||
| Annulus | 1 | ||
| Leaflets | 3 | ||
| Clear and rough zones | 4 | ||
| Line of coaptation | 4 | ||
| Aortomitral Angle and the Cardiac Cycle | 5 | ||
| Chordae Tendinae | 5 | ||
| Papillary Muscles and the Left Ventricle | 6 | ||
| Left Ventricular Outflow Tract | 8 | ||
| MITRAL VALVE DISEASE | 8 | ||
| IMPLICATIONS FOR TRANSCATHETER MITRAL VALVE THERAPY | 9 | ||
| Anatomic Target | 9 | ||
| Annulus | 9 | ||
| Leaflets | 10 | ||
| Aortomitral continuity, aortomitral angle, and the left ventricular outflow tract | 10 | ||
| Subvalvar apparatus | 12 | ||
| Access for Therapy | 13 | ||
| Transseptal approach | 13 | ||
| Transapical approach | 13 | ||
| SUMMARY | 15 | ||
| SUPPLEMENTARY DATA | 15 | ||
| REFERENCES | 15 | ||
| Echocardiographic Imaging of the Mitral Valve for Transcatheter Edge-to-Edge Repair | 17 | ||
| KEY POINTS | 17 | ||
| INTRODUCTION | 17 | ||
| EVALUATION OF MITRAL VALVE REGURGITATION WITH ECHOCARDIOGRAPHY | 18 | ||
| TRANSESOPHAGEAL ECHOCARDIOGRAPHY PROCEDURE | 19 | ||
| Image Optimization | 19 | ||
| Building the Mitral Valve Image | 19 | ||
| ECHOCARDIOGRAPHIC GUIDANCE OF THE MITRACLIP PROCEDURE | 21 | ||
| Transseptal Puncture and Introduction of Delivery Sheath | 22 | ||
| Insertion of the Clip Delivery System into the Left Atrium | 24 | ||
| Clip Opening and Alignment Above the Mitral Valve | 24 | ||
| Advancement of the Clip into the Left Ventricle | 26 | ||
| Grasping the Mitral Valve Leaflets | 26 | ||
| Releasing the Clip and Additional Assessment | 30 | ||
| SUMMARY | 31 | ||
| REFERENCES | 31 | ||
| Use of Computed Tomography to Guide Mitral Interventions | 33 | ||
| KEY POINTS | 33 | ||
| INTRODUCTION | 33 | ||
| IMAGING FOR MITRAL VALVE INTERVENTIONS | 33 | ||
| Image Acquisition and Diagnostics | 34 | ||
| Preprocedural Planning | 35 | ||
| Intraprocedural Guidance: Computed Tomographic Angiography–Fluoroscopy Fusion Imaging | 38 | ||
| Access | 40 | ||
| Intervention | 40 | ||
| SUMMARY | 42 | ||
| REFERENCES | 42 | ||
| Mitral Paravalvular Leak Closure | 45 | ||
| KEY POINTS | 45 | ||
| CLINICAL EVALUATION AND PATIENT SELECTION | 45 | ||
| TECHNIQUES FOR PERCUTANEOUS REPAIR | 47 | ||
| Device Occluders and Catheters | 47 | ||
| Technical Approaches | 47 | ||
| Transcatheter Rails | 49 | ||
| Multiple Device Placement and Anchor Wiring | 50 | ||
| Computed Tomography Guidance | 51 | ||
| CLINICAL OUTCOMES | 51 | ||
| SUMMARY | 54 | ||
| REFERENCES | 54 | ||
| Targeted Transseptal Access for MitraClip Percutaneous Mitral Valve Repair | 55 | ||
| KEY POINTS | 55 | ||
| INTRODUCTION | 55 | ||
| ROLE OF TARGETED TRANSSEPTAL PUNCTURE FOR MITRACLIP | 55 | ||
| INTERATRIAL SEPTAL ANATOMY AND RELATIONSHIP TO ADJACENT STRUCTURES | 56 | ||
| EQUIPMENT | 56 | ||
| BASIC STEP-BY-STEP TECHNIQUE | 59 | ||
| SPECIAL CONSIDERATIONS | 61 | ||
| Noncentral (Commissural) Mitral Regurgitation | 61 | ||
| Preexisting Patent Foramen Ovale/Atrial Septal Defect | 62 | ||
| Hyperelastic Septum | 66 | ||
| Fibrous Septum | 68 | ||
| Iliofemoral Tortuosity/Enlarged Right Atrium | 69 | ||
| SUMMARY | 69 | ||
| REFERENCES | 69 | ||
| MitraClip Therapy for Mitral Regurgitation | 71 | ||
| KEY POINTS | 71 | ||
| BACKGROUND | 71 | ||
| MITRACLIP DEVICE | 72 | ||
| EXPERIENCE WITH THE MITRACLIP DEVICE FOR PRIMARY MITRAL REGURGITATION | 73 | ||
| THE ENDOVASCULAR VALVE EDGE-TO-EDGE REPAIR STUDY | 73 | ||
| INTEGRATED HIGH SURGICAL RISK PRIMARY MITRAL REGURGITATION COHORT: THE ENDOVASCULAR VALVE EDGE-TO-EDGE REPAIR STUDY II HIGH ... | 75 | ||
| WORLDWIDE OUTCOMES OF THE MITRACLIP IN PRIMARY MITRAL REGURGITATION | 80 | ||
| INDICATIONS AND PATIENT SELECTION | 80 | ||
| SUMMARY | 81 | ||
| REFERENCES | 81 | ||
| MitraClip Therapy for Mitral Regurgitation | 83 | ||
| KEY POINTS | 83 | ||
| REFERENCES | 90 | ||
| Coronary Sinus-Based Approach to Mitral Regurgitation | 93 | ||
| KEY POINTS | 93 | ||
| SUMMARY | 99 | ||
| REFERENCES | 99 | ||
| Percutaneous Mitral Annuloplasty | 101 | ||
| KEY POINTS | 101 | ||
| INTRODUCTION | 101 | ||
| THE BACKGROUND: SURGICAL ANNULOPLASTY | 101 | ||
| THE CLINICAL NEED FOR TRANSCATHETER MITRAL ANNULOPLASTY | 102 | ||
| DESCRIPTION OF ANNULOPLASTY DEVICES AND PRELIMINARY RESULTS | 102 | ||
| Indirect Annuloplasty | 102 | ||
| Direct Annuloplasty | 103 | ||
| The Valtech Cardioband | 103 | ||
| The Mitralign System | 104 | ||
| The Accucinch System | 104 | ||
| Cardiac Implants Mitral Restriction Ring | 104 | ||
| The Valcare Medical AMEND | 105 | ||
| Other Annular Repair Techniques | 105 | ||
| SUMMARY | 105 | ||
| REFERENCES | 105 | ||
| Transcatheter Mitral Valve Replacement | 109 | ||
| KEY POINTS | 109 | ||
| INTRODUCTION | 109 | ||
| TRANSCATHETER MITRAL VALVE DESIGN AND INITIAL EXPERIENCE RESULTS | 110 | ||
| SUMMARY | 115 | ||
| REFERENCES | 115 | ||
| Transcatheter Mitral Valve-in-Valve Therapy | 117 | ||
| KEY POINTS | 117 | ||
| INTRODUCTION | 117 | ||
| PERCUTANEOUS TREATMENT OF FAILING MITRAL BIOPROSTHESIS | 117 | ||
| BIOPROSTHETIC DEGENERATION MECHANISM | 117 | ||
| PREPROCEDURAL EVALUATION AND PLANNING | 118 | ||
| VALVE-IN-VALVE–TRANSCATHETER MITRAL VALVE REPLACEMENT | 119 | ||
| VALVE-IN-RING–TRANSCATHETER MITRAL VALVE REPLACEMENT | 120 | ||
| COMPLICATIONS | 120 | ||
| PARAVALVULAR LEAK | 121 | ||
| SUMMARY | 121 | ||
| REFERENCES | 122 |