Transcatheter Mitral Valve Repair Tips and tricks for access

Slides:

Advertisements

Similar presentations

LV axis model. ‘The 20 Views’ Annual Comprehensive Review & Update of Perioperative Echo.

Advertisements

3D Echocardiography. u 3D Transesophageal echocardiography has become practical for intraoperative use u Technology provides 3D visualization of MV and.

Minimally invasive mitral and tricuspid valve surgery Prof. Parwis Massoudy Klinikum Passau, Germany Clinic for Cardiac Surgery Head of Department.

Assessing the atrial septum

Cardiovascular Imaging Part I: Visualizing Cardiac Anatomy Vincent Brinkman, MD Division of Cardiology The Ohio State University College of Medicine.

Adult Echocardiography Lesson Two Anatomy Review Harry H. Holdorf.

Congenital mitral valve stenosis

Planes of the Heart Ao RV RA PA LV LA 4 Chamber Plane Long Axis Plane Short Axis Plane 1.

Date of download: 6/3/2016 Copyright © The American College of Cardiology. All rights reserved. From: Imaging the Left Atrial Appendage Prior to, During,

MitraClip Mitral Valve Repair System Abbott Vascular MitraClip Mitral Valve Repair System Abbott Vascular Alexandra Camesas & Nathan Kukowski Biomaterials.

Structural Heart Live Cases

Disclosure Statement of Financial Interest Saibal Kar, MD, FACC

Volume 28, Issue 4, Pages (August 2012)

Figure 1 Changes of mitral valve geometry caused by PMVR

Volume 1, Issue 1, Pages (February 2017)

Quantitative Real-Time Three-Dimensional Echocardiography Provides New Insight into the Mechanisms of Mitral Valve Regurgitation Post-Repair of Atrioventricular.

Division of Cardiac Surgery University of Ottawa Heart Institute

Use of Real Time Three-Dimensional Transesophageal Echocardiography in Intracardiac Catheter Based Interventions Gila Perk, MD, Roberto M. Lang, MD,

Case Demonstration: MitraClip Edge-to–Edge Repair

University of Cincinnati Medical Center

Structural and Functional Mitral Regurgitation:

Fig. 1. TTE demonstrating a 2. 4×1

Transcatheter Mitral Repair Complications & Bailout(s)

A. Parasternal long-axis plane through the mitral valve in late systole. The plane of the mitral annulus is drawn in a dotted line. The mitral valve leaflets.

Volume 76, Issue 3, Pages (September 1979)

Current concepts in mitral valve prolapse—Diagnosis and management

The “Broken Ring” Sign in Magnetic Resonance Imaging of Partial Anomalous Pulmonary Venous Connection to the Superior Vena Cava PAUL R. JULSRUD, M.D.,

Adult Echocardiography Lesson Two Anatomy Review

Patrick O’Gara et al. JIMG 2008;1:

Ischemic Mitral Regurgitation

Volume 12, Issue 7, Pages (July 2015)

A heart team’s perspective on interventional mitral valve repair: Percutaneous clip implantation as an important adjunct to a surgical mitral valve program.

Effects and mechanisms of left ventricular false tendons on functional mitral regurgitation in patients with severe cardiomyopathy Mehul R. Bhatt, MD,

Accurate Localization of Mitral Regurgitant Defects Using Multiplane Transesophageal Echocardiography Gary P. Foster, Eric M. Isselbacher, Geoffrey A.

Supra-Annular Mitral Valve Replacement in Children

Transoesophageal echocardiography (TOE) in the operating room

The Mitral Valve Patient Learning Objectives

Simple repair approach for mitral regurgitation in Barlow disease

Mitral valve replacement after late failure of mitral valve repair

Functional mitral stenosis after surgical annuloplasty for ischemic mitral regurgitation: Importance of subvalvular tethering in the mechanism and dynamic.

HeartRhythm Case Reports

Marc R. Moon, MD The Journal of Thoracic and Cardiovascular Surgery

HeartRhythm Case Reports

Repair of primum ASD with cleft mitral valve

Repair of posterior mitral valve prolapse with a novel leaflet plication clip in an animal model Eric N. Feins, MD, Haruo Yamauchi, MD, PhD, Gerald R.

Three-dimensional electroanatomical mapping to guide transseptal catheterization Mark R. Bowers, MS, MD, Padraig Gearoid O'Neill, MD, FHRS, Rohit Bhaskar,

A B C C D E F LA LA LV LV LV A3 A2 A1 LA P3 P2 A3 A1 P3 P1 A2 A2 P3 P1

Restoration of sinus rhythm and atrial transport function after the maze procedure: U lesion set versus box lesion set Takashi Nitta, MD, PhD, Yosuke.

Percutaneous Transcatheter Edge-to-Edge MitraClip Technique: A Practical “Step-by- Step” 3-Dimensional Transesophageal Echocardiography Guide Limor Ilan.

Samer Kassem, MD, Majed Othman, MD

Hemoptysis as a rare presentation of cor triatriatum sinister

Management and decision-making strategy for systolic anterior motion after mitral valve repair Giuseppe Crescenzi, MD, Giovanni Landoni, MD, Alberto.

K Haiying British Journal of Anaesthesia

Congenital absence of posteromedial papillary muscle and anterior mitral leaflet chordae: The use of three-dimensional echocardiography and approach in.

Ani C. Anyanwu, MD, FRCS, David H. Adams, MD

Stuart A. Abel, MD, Thomas A. Stark, MD, Kent H

Imbalanced chordal force distribution causes acute ischemic mitral regurgitation: Mechanistic insights from chordae tendineae force measurements in pigs

Mitral Stenosis Associated With Valvular Tophi

Robotic mitral valve repair for all prolapse subsets using techniques identical to open valvuloplasty: Establishing the benchmark against which percutaneous.

James S. Gammie et al. JACC 2018;71:25-36

Wobbe Bouma, MD, Chikashi Aoki, MD, Mathieu Vergnat, MD, Alison M

PML AML Figure 1. Biplane Mode (X-plane) acquisition with 3D transoesophageal echocardiography. Left side panel: reference plane mid-oesophageal 4 chamber.

Chordal Replacement Versus Quadrangular Resection for Repair of Isolated Posterior Mitral Leaflet Prolapse Ruediger Lange, MD, PhD, Thomas Guenther,

Mechanical left ventricular unloading to prevent recurrent myocardial rupture Stephen Westaby, MS, PhD, Vipin Mehta, MD, Fidelma Flynn, MD, Neil Wilson,

Complete excision of secondary chordae of the anterior mitral leaflet as an adjunct in surgical management of hypertrophic obstructive cardiomyopathy.

Illustrative four-chamber (left) and parasternal long axis (right) echocardiographic image of a female aged 49 years with systolic displacement of anterior.

Vasilis C. Babaliaros et al. JCIN 2017;10:

Bushra S. Rana et al. JIMG 2010;3:

Chordal replacement with polytetrafluoroethylene sutures for mitral valve repair: A 25- year experience Tirone E. David, MD, Susan Armstrong, MSc, Joan.

Masakazu Aoki, MD, Toshiaki Ito, MD, PhD

Presentation transcript:

Transcatheter Mitral Valve Repair Tips and tricks for access Andreas Gruentzig Cardiovascular Center Emory University, Atlanta, GA. Transcatheter Mitral Valve Repair Tips and tricks for access Peter C. Block M.D. CRT Mar 28, 2011 1

1: MitraClip requires curvature and positioning of the delivery catheter in the LA so that the MitraClip can be placed at right angles to each plane of the mitral leaflets. 2: Transseptal puncture should be made “high and posterior” in the atrial septum (allows adequate space for the delivery catheter and the MitraClip to remain well above the plane of the mitral valve during positioning within the LA). 3: Too low or anterior ---- not be enough space between the delivery catheter and the mitral valve plane to allow adequate capture of the edges of the mitral leaflets within Clip.

LAA LA BMV LAA RA MV IVC

LAA LA BMV LAA RA MV IVC

Transseptal Puncture for Percutaneous Mitral Valve Repair: Posterior and superior aspect of Septum Bicaval view: Height: Short axis: Posterior 4chamber view: Distance From Puncture to point of coaptation 3.5 to 4 cm

TS puncture for Percutaneous Mitral Valve Repair Real time 3D TEE imaging

The MitraClip Changing view of patient selection From prolapse to functional and possibly even ischemic MR