By Jason Rogers M.D., FACC, FSCAI (auth.), Ted Feldman, Olaf Franzen, Reginald Low, Jason Rogers, Khung Keong Yeo (eds.)
The box of structural middle affliction interventions is experiencing a degree of quick progress with the advance of percutaneous mitral valve fix remedies and percutaneous aortic valve alternative cures. The MitraClip represents a brand new healing frontier for mitral regurgitation and is predicted to revolutionize fix of the mitral valve. For the 1st time on the planet, physicians now have the potential to fix the mitral valve percutaneously with out the necessity for a sternotomy or cardiopulmonary skip. notwithstanding, as with any new endeavors, there's a steep studying curve, not only for the person operator but in addition for the total box. The MitraClip know-how and procedure is technically advanced and is guided through echocardiography and fluoroscopy. it really is an imaging in depth technique that calls for deep three-d knowing of ordinary and irregular cardiac anatomy. now not all mitral regurgitation circumstances are compatible and never all circumstances are elementary. it truly is for this reason crucially vital for physicians during this distinctiveness to speak their event, successes, mess ups and issues with one another.
Written by means of the leaders during this step forward box, the Atlas of Percutaneous Edge-to-Edge Mitral Valve Repair is the 1st of its style for the hot percutaneous MitraClip technique. The Editors have designed the e-book to be a entire reference handbook and to supply cardiologists with actual examples of simple and complicated instances of percutaneous mitral valve fix utilizing the expertise. furthermore, this ebook offers step by step publications to the technique and issues in addition to steps to get over them are mentioned. The Atlas is predicted to be a really precious reference for either amateur and skilled interventional cardiologists and echocardiologists. As percutaneous valve fix turns into extra universal it's going to even be of significant curiosity to normal cardiologists and surgeons.
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Extra info for Atlas of Percutaneous Edge-to-Edge Mitral Valve Repair
2 Device Description and Procedural Overview 15 MitraClip Device Fig. 1 Double-orifice surgical MVR with a suture. Surgical repair of anterior leaflet prolapse using an edge-to-edge technique by opposing the middle scallops of the anterior and posterior leaflets with stitches creating a so-called dual-orifice or double-orifice mitral valve is shown [1–3]. The clinical success and simplicity of this technique prompted interest in development of a catheter-based MitraClip technology that would enable the interventional cardiologist to perform a percutaneous, endovascular valve repair in the cardiac catheterization laboratory Fig.
EuroIntervention. 2006;2(2):181–6. Magne J, Girerd N, Senechal M, et al. Mitral repair versus replacement for ischemic mitral regurgitation: comparison of short-term and long-term survival. Circulation. 2009;120(11 Suppl):S104–11. Argenziano M, Skipper E, Heimansohn D, et al. Surgical revision after percutaneous mitral repair with the MitraClip device. Ann Thorac Surg. 2010;89(1):72–80; discussion p. 80. Rogers JH, Yeo KK, Carroll JD, et al. Late surgical mitral valve repair after percutaneous repair with the MitraClip system.
It is not practical for the echocardiologist and the primary operator to share the same monitor. The echo machine and echocardiologist are on the left side of the patient’s head. The fluoroscopy equipment is above the patient’s head. The anesthesiologist and the anesthesia equipment are on the right side of the patient’s head. The working tables, upon which the MitraClip equipment is placed, are located behind the operators. Importantly, a long table is required. K. Yeo et al. delivery system to be safely prepared without having any part off the sterile field.