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Transcatheter Mitral Valve Replacement in the Transcatheter Aortic Valve Replacement Era

Authors: Luca Testa; Antonio Popolo Rubbio; Matteo Casenghi; Gaetano Pero; Azeem Latib; Francesco Bedogni;

Transcatheter Mitral Valve Replacement in the Transcatheter Aortic Valve Replacement Era

Abstract

After the success and worldwide adoption of transcatheter aortic valve replacement (TAVR), the percutaneous replacement of a diseased mitral valve (MV) rapidly became a target for investigators and industry. The rejuvenated enthusiasm of industry in this field is also corroborated by the fact that, in 2015, ≈2.5 billion dollars were invested in MV technology development and engineering, making this topic extremely timely. However, although transcatheter aortic Valve replacement has already become the standard of care for the treatment of aortic stenosis (AS) in patients considered at increased risk for conventional surgery,1, 2, 3 transcatheter MV replacement (TMVR) has not yet achieved the same results. MV disease is more common than AS,4, 5 and the surgical approach still remains the gold standard treatment for degenerative mitral regurgitation (MR).3 For patients at high surgical risk who are denied surgery and for whom medical therapy is not sufficient,6 TMVR may mature as a promising therapeutic option.7 As a matter of fact, MR is the most common valve disease, considering that in developed countries the prevalence of rheumatic heart disease and consequent mitral stenosis encountered a dramatic reduction in the past decades.4 Moreover, the increased life expectancy and the growing incidence of ischemic heart disease, combined with advanced medical and interventional therapies, have led ischemic functional secondary MR and degenerative primary MR to further increase.8 Consequently, this growing interest in the development of percutaneous treatment options for MV disease goes parallel with the much higher prevalence of this valvulopathy in the general population, combined with the increased group of high‐risk elderly patients who could not benefit from the standard surgical treatment.9

Country
Italy
Keywords

Heart Valve Prosthesis Implantation, Cardiac Catheterization, Mitral Valve Insufficiency, aortic valve stenosis, Prosthesis Design, Transcatheter Aortic Valve Replacement, Treatment Outcome, RC666-701, Heart Valve Prosthesis, Contemporary Review, Diseases of the circulatory (Cardiovascular) system, Humans, mitral regurgitation, transcatheter aortic valve implantation

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
46
Top 10%
Top 10%
Top 1%
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gold