Mitral Transcatheter Edge-to-Edge Repair: Advancing Treatment Options for Degenerative Mitral Regurgitation

Interv Cardiol Clin. 2024 Apr;13(2):155-165. doi: 10.1016/j.iccl.2024.01.001. Epub 2024 Feb 7.

Abstract

Degenerative mitral regurgitation (DMR) has earned great interest because of modern and innovative technologies emerging in its treatment. MR affects roughly one-tenth of those older adults over the age of 75. MR if untreated leads to adverse heart remodeling, resulting in left ventricular dysfunction, pulmonary hypertension, and heart failure syndrome. Despite surgical valve repair/replacement treatment being the standard of care, a significant proportion of severe MR patients face unmet clinical needs because of high or prohibitive surgical risks. This has led to the emergence of transcatheter therapies for high- and prohibitive-risk surgical patients, most notably mitral transcatheter edge-to-edge repair devices.

Keywords: Degenerative MR; Mitral valve regurgitation; Mitral valve repair; TEER; Transcatheter edge-to-edge repair.

Publication types

  • Review

MeSH terms

  • Aged
  • Heart Failure* / surgery
  • Humans
  • Hypertension, Pulmonary*
  • Mitral Valve Insufficiency* / surgery
  • Technology
  • Ventricular Dysfunction, Left*