Edge-to-Edge Percutaneous Repair of Severe Mitral Regurgitation : State-of-the-Art for Mitraclip^【○!R】Implantation

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MitraClip<sup>®</sup> therapy is a percutaneous edge-to-edge plication of the mitral leaflets, mimicking the Alfieri surgical technique. MitraClip<sup>®</sup> implantation is a safe procedure, and survival outcomes in high-surgical-risk patients are superior to historical controls. Despite these results, questions remain concerning long-term efficacy and durability. The MitraClip<sup>®</sup> device has been studied in a safety and feasibility trial in the USA, a randomized pivotal trial against surgical mitral valve repair. Moreover, MitraClip<sup>®</sup> now has over 2 years of CE-mark approval and a rapidly expanding clinical experience in Europe, primarily in patients at high risk for surgery. A dedicated multidisciplinary team is necessary, as well as thoughtful patient selection, familiarity with the technical aspects of the procedure, including transesophageal ultrasound imaging and post-procedure monitoring. Currently available clinical data and procedural steps are herein reviewed. Because the MitraClip<sup>®</sup> procedure is still relatively new, continued investigation is required to further better define the patient populations that will benefit most. (<i>Circ J</i> 2012; <b>76:</b> 801-808)<br>

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  • Circulation journal : official journal of the Japanese Circulation Society

    Circulation journal : official journal of the Japanese Circulation Society 76(4), 801-808, 2012-03-25

    一般社団法人 日本循環器学会

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各種コード

  • NII論文ID(NAID)
    10030130825
  • NII書誌ID(NCID)
    AA11591968
  • 本文言語コード
    ENG
  • 資料種別
    REV
  • ISSN
    13469843
  • データ提供元
    CJP書誌  CJP引用  J-STAGE 
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