Document Detail


Transcatheter mitral valve repair for functional mitral regurgitation: coronary sinus approach.
MedLine Citation:
PMID:  18042055     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Mitral regurgitation has become recognized as an important health problem. More specifically, functional mitral regurgitation is associated with worse outcomes in heart failure, postmyocardial infarction, and perioperative coronary artery bypass surgery patients. Many patients with severe mitral regurgitation are denied or refused mitral valve surgery. A less invasive procedure with possibly fewer potential complications may thus be attractive for patients with severe mitral regurgitation. Devices used for coronary sinus (CS) mitral annuloplasty are directed toward patients with functional mitral regurgitation. Because of its easy accessibility and close relationship to the posterior mitral annulus (MA), alterations of the CS geometry with percutaneous devices may translate to displacement of the posterior annulus and correct mitral leaflet coaptation. This review will focus on the contemporary CS annuloplasty devices: (1) Edwards MONARC system; (2) Cardiac Dimensions CARILLON; and (3) Viacor Shape Changing Rods system. In addition, important information obtained from recent imaging studies describing the relationship between the CS, MA, and coronary arteries will be reviewed.
Authors:
Nicolo Piazza; Raoul Bonan
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Journal of interventional cardiology     Volume:  20     ISSN:  0896-4327     ISO Abbreviation:  J Interv Cardiol     Publication Date:  2007 Dec 
Date Detail:
Created Date:  2007-11-28     Completed Date:  2008-02-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8907826     Medline TA:  J Interv Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  495-508     Citation Subset:  IM    
Affiliation:
Montreal Heart Institute, Montreal, Quebec, Canada.
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MeSH Terms
Descriptor/Qualifier:
Comorbidity
Coronary Sinus / anatomy & histology
Coronary Vessels / anatomy & histology
Heart Failure / epidemiology
Heart Valve Prosthesis*
Heart Valve Prosthesis Implantation / instrumentation,  methods*
Humans
Magnetic Resonance Imaging
Mitral Valve Insufficiency / epidemiology,  mortality,  physiopathology,  surgery*
Prosthesis Design

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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