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Treatment of mitral regurgitation

Roberto Violini, Alberta Cifarelli, Francesco De Felice, Diana Chin
  • Alberta Cifarelli
    Azienda Ospedaliera S. Camillo Forlanini, Italy
  • Francesco De Felice
    Azienda Ospedaliera S. Camillo Forlanini, Italy
  • Diana Chin
    Azienda Ospedaliera S. Camillo Forlanini, Italy

Abstract

In the elderly mitral regurgitation is very frequent and surgical correction of mitral regurgitation (MR) has often a high operative risk, consequently, over the years, different percutaneous transcatheter techniques have been developed as a valid alternative to surgery. The edge-to-edge repair with the MitraClip device has gained a wide clinical application, supported by several studies, both randomize trials and registries. It is indicated in functional MR as in degenerative MR. The outcome is usually positive, resulting in a reduction of the regurgitation to grade 1+ or 2+ and an improvement in the functional class to I or II reducing hospitalizations. Its cost-effectiveness too is supported by some studies.

Keywords

Elderly; MitraClip®; mitral regurgitation; percutaneous; transcatheter.

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Submitted: 2017-05-17 12:12:05
Published: 2017-07-18 14:29:50
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Copyright (c) 2017 Roberto Violini, Alberta Cifarelli, Francesco De Felice, Diana Chin

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