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20 May 2026

Mitral valve replacement and repair

Advancing mitral transcatheter edge-to-edge repair in complex lesions

Sponsored by Abbott

Anchorperson: F. Maisano
Spokespersons: M. Izumo, G. Song
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Summary

Learn how advanced imaging, careful anatomical assessment and tailored procedural strategies are helping expand the possibilities of mitral transcatheter edge-to-edge repair (M-TEER) in complex lesions.

Focusing on atrial secondary mitral regurgitation (SMR) and commissural mitral regurgitation, this EuroPCR 2026 session reviews evidence, showing that M-TEER can be performed safely and effectively in challenging anatomies. Particular emphasis is placed on recognising concomitant tricuspid regurgitation, optimising device selection and refining procedural planning.

Case-based demonstrations also illustrate how commissural lesions, once considered particularly difficult to treat, can become suitable targets when supported by appropriate patient selection and advanced imaging guidance.

Learning Objectives

  • To recognise complex anatomical features in patients undergoing mitral edge-to-edge repair and understand how to optimise procedural outcomes in these patients
  • To integrate evidence in procedural planning and treatment strategy for patients with atrial secondary mitral regurgitation and non-central lesions
  • To apply advanced imaging in mitral edge-to-edge procedures for complex lesions
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