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Journal of Long-Term Effects of Medical Implants
Главный редактор: Subrata Saha (open in a new tab)

Выходит 4 номеров в год

ISSN Печать: 1050-6934

ISSN Онлайн: 1940-4379

SJR: 0.184 SNIP: 0.485 CiteScore™:: 1.1 H-Index: 39

Indexed in

Mechanics of Mitral Valve Edge-to-Edge-Repair and MitraClip Procedure

Том 25, Выпуск 1-2, 2015, pp. 135-145
DOI: 10.1615/JLongTermEffMedImplants.2015011729
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Краткое описание

The edge-to-edge repair (ETER) technique has been used as a stand-alone procedure, or as a secondary procedure with ring annuloplasty for degenerative, functional mitral regurgitation, or for mitral regurgitation of other kinds of valvular etiologies. The percutaneous MitraClip technique based on ETER has been used in patients who are inoperable or at high surgical risk. However, adverse events such as residual mitral regurgitation, and clip detachment or fracture indicate that the mechanics underlying these procedures is not well understood. Therefore, current studies on mitral valve functionality and mechanics related to the ETER and MitraClip procedures are reviewed to improve the efficacy and safety of both procedures. Extensive in vivo, in vitro, and in silico studies related to ETER and MitraClip procedures along with MitraClip clinical trial results are presented and discussed herein. The ETER suture force and the mitral valve tissue mechanics and hemodynamics of each procedure are discussed. A quantitative understanding of the interplay of mitral valve components and as to biological response to the procedures remains challenging. Based on mitral valve mechanics, ETER or MitraClip therapy can be optimized to enhance repair efficacy and durability.

ЦИТИРОВАНО В
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  2. Bloodworth Charles H., Pierce Eric L., Kohli Keshav, Deaton Nancy J., Jones Kaitlin J., Duvvuri Radhika, Kamioka Norihiko, Babaliaros Vasilis C., Yoganathan Ajit P., Impact of simulated MitraClip on forward flow obstruction in the setting of mitral leaflet tethering: An in vitro investigation, Catheterization and Cardiovascular Interventions, 92, 4, 2018. Crossref

  3. Kar Saibal, Feldman Ted, Qasim Atif, Trento Alfredo, Kapadia Samir, Pedersen Wesley, Lim D Scott, Kipperman Robert, Smalling Richard W, Bajwa Tanvir, Hermann Howard C, Hermiller James B, Lasala John M, Reisman Mark, Glower Donald, Mauri Laura, Whitlow Patrick, Five-year outcomes of transcatheter reduction of significant mitral regurgitation in high-surgical-risk patients, Heart, 105, 21, 2019. Crossref

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