19 Nov 2023
Transcatheter mitral repair and replacement for primary mitral regurgitation - LIVE case
Transcatheter mitral valve intervention, 20 years on
Operators:
D. Tchetche, N. Dumonteil
Procedural Analyst:
F. Praz
Summary
This session aims to highlight the remarkable advancements achieved in transcatheter mitral valve intervention over the past two decades, since its inception. Follow two TEER cases which illustrate this rapidly growing field:
- Transcatheter edge-edge mitral valve repair
A 77-year-old male with a history of SAVR (bioprothesis) + LIM-LAD/Diag, normal LV function, presented a severe primary MR (P1 prolapse with chordal rupture). The operators decided to implant 2 clips (G4 NTW and XT) on TEE guidance.
LIVE case from Clinique Pasteur, Toulouse, France - An 85-year-old woman, on AF, presented a primary MR non-eligible for TEER. Watch the operators implant a Tendyne valve by apical access.
Recorded case from Bad Oeyhhausen, Germany
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Key moments
Live case
- 4:05-8:50 - Imaging analysis
- 14:02-14:27 - Procedural strategy
- 19:14-20:13 - Explanation of the choice of the NTW
- 43:23-44:10 - Explanation of the choice of the XT
- 1:05:33-1:09:18 - Procedural analysis
Recorded case
- 1:21:10-1:26:56 - Tendyne implantation
Keywords: Primary MR, Mitraclip, Tendyne, TEER, transcatheter valve replacement
Learning Objectives
- To appreciate the major progress that has been made in transcatheter mitral valve intervention since the first procedures 20 years ago
- To gain a better understanding of the future direction of this rapidly growing field
- To discuss the principles of patient selection for transcatheter mitral valve repair and replacement
