The evolution from surgery to percutaneous mitral valve interventions: The role of the edge-to-edge technique

Francesco Maisano, Giovanni La Canna, Antonio Colombo, Ottavio Alfieri

Research output: Contribution to journalArticlepeer-review

Abstract

The edge-to-edge technique is a versatile procedure for mitral valve repair. Its technical simplicity has been the prerequisite for the development of a number of transcatheter technologies to perform percutaneous mitral valve repair. The evolution from a standard open heart surgical to percutaneous procedure involved the application of the technique in minimally invasive robotic surgery and direct access (transatrial) off-pump suture-based repair and finally in the fully percutaneous approach with either suture-based or device (clip)-based approach. The MitraClip (Abbott Vascular, Menlo Park, California) is currently available for clinical use in Europe, and it is mainly applied to treat high-risk patients with functional mitral regurgitation. A critical review of the surgical as well as the early percutaneous repair data is necessary to elucidate the clinical role and the potential for future developments of the edge-to-edge repair in the treatment of mitral regurgitation.

Original languageEnglish
Pages (from-to)2174-2182
Number of pages9
JournalJournal of the American College of Cardiology
Volume58
Issue number21
DOIs
Publication statusPublished - Nov 15 2011

Keywords

  • Alfieri repair
  • double orifice
  • edge-to-edge
  • mitraclip
  • mitral regurgitation
  • mitral valve repair
  • percutaneous treatment
  • surgery

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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