Next Article in Journal
Distal Radial Artery Access for Coronary and Peripheral Procedures: A Multicenter Experience
Next Article in Special Issue
Surgery after Failed Transcatheter Aortic Valve Implantation: Indications and Outcomes of a Concerning Condition
Previous Article in Journal
Comparison of Acute Withdrawal and Slow Taper of Antiseizure Medications during Video Electroencephalographic Monitoring: Efficacy for Shortening of Hospital Stay
Previous Article in Special Issue
The Use of BASILICA Technique to Prevent Coronary Obstruction in a TAVI-TAVI Procedure
Review

Imaging in Transcatheter Mitral Valve Replacement: State-of-Art Review

Cardiology Department, University Hospital Alvaro Cunqueiro, Galicia Sur Health Research Institute (IISGS), 36213 Vigo, Pontevedra, Spain
*
Author to whom correspondence should be addressed.
Academic Editor: Giuseppe Santarpino
J. Clin. Med. 2021, 10(24), 5973; https://doi.org/10.3390/jcm10245973
Received: 3 November 2021 / Revised: 12 December 2021 / Accepted: 14 December 2021 / Published: 20 December 2021
(This article belongs to the Special Issue Transcatheter Structural Heart Disease Interventions: Clinical Update)
Mitral regurgitation is the second-most frequent valvular heart disease in Europe and it is associated with high morbidity and mortality. Recognition of MR should encourage the assessment of its etiology, severity, and mechanism in order to determine the best therapeutic approach. Mitral valve surgery constitutes the first-line therapy; however, transcatheter procedures have emerged as an alternative option to treat inoperable and high-risk surgical patients. In patients with suitable anatomy, the transcatheter edge-to-edge mitral leaflet repair is the most frequently applied procedure. In non-reparable patients, transcatheter mitral valve replacement (TMVR) has appeared as a promising intervention. Thus, currently TMVR represents a new treatment option for inoperable or high-risk patients with degenerated or failed bioprosthetic valves (valve-in-valve); failed repairs, (valve-in-ring); inoperable or high-risk patients with native mitral valve anatomy, or those with severe annular calcifications, or valve-in-mitral annular calcification. The patient selection requires multimodality imaging pre-procedural planning to select the best approach and device, study the anatomical landing zone and assess the risk of left ventricular outflow tract obstruction. In the present review, we aimed to highlight the main considerations for TMVR planning from an imaging perspective; before, during, and after TMVR. View Full-Text
Keywords: structural heart intervention; transcatheter mitral valve replacement; mitral regurgitation; transoesophageal echocardiography; cardiac computed tomography structural heart intervention; transcatheter mitral valve replacement; mitral regurgitation; transoesophageal echocardiography; cardiac computed tomography
Show Figures

Figure 1

MDPI and ACS Style

Barreiro-Perez, M.; Caneiro-Queija, B.; Puga, L.; Gonzalez-Ferreiro, R.; Alarcon, R.; Parada, J.A.; Iñiguez-Romo, A.; Estevez-Loureiro, R. Imaging in Transcatheter Mitral Valve Replacement: State-of-Art Review. J. Clin. Med. 2021, 10, 5973. https://doi.org/10.3390/jcm10245973

AMA Style

Barreiro-Perez M, Caneiro-Queija B, Puga L, Gonzalez-Ferreiro R, Alarcon R, Parada JA, Iñiguez-Romo A, Estevez-Loureiro R. Imaging in Transcatheter Mitral Valve Replacement: State-of-Art Review. Journal of Clinical Medicine. 2021; 10(24):5973. https://doi.org/10.3390/jcm10245973

Chicago/Turabian Style

Barreiro-Perez, Manuel, Berenice Caneiro-Queija, Luis Puga, Rocío Gonzalez-Ferreiro, Robert Alarcon, Jose A. Parada, Andrés Iñiguez-Romo, and Rodrigo Estevez-Loureiro. 2021. "Imaging in Transcatheter Mitral Valve Replacement: State-of-Art Review" Journal of Clinical Medicine 10, no. 24: 5973. https://doi.org/10.3390/jcm10245973

Find Other Styles
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Back to TopTop