Percuanteous Mitral valve repair What devices are available

Olaf Franzen

Copenhagen, London

Annulus - devices

Arteficial cords

Leaflet repair

Ventricular remodeling

Mitral valve replacement

Annulus - devices

Arteficial cords

Leaflet repair

• Coronary Sinus devices

• Direct annuloplasty

• Annulus remodeling (RF/ultrasound)

Annulus Devices

Principle: Create force via the coronary sinus to

shorten the anterior – posterior diameter of the mitral

valve in order to enlarge the coaptation area of the

leaflets

PTMA Device (Viacor)

Carillon (Cardiac Dimensions)

Monarc (Edwards)

NH-Cerclage Technology

St-Jude Device

Devices:

Coronary Sinus Devices

Tops et al, Ciculation 2007 Maseli et al, Ciculation 2006

Anatomical limitations Coronary Sinus Devices

Lansac JTCVS 2008

T1 / T2 left and right

fibrous trigones

C1 / C2 ant. / post.

commissures

S1 origin of great

cardiac vein

S2 coronary sinus

ostium

Anatomical limitations Coronary Sinus Devices

• Carillon Cardiac Dimesion

Proximal anchor

Distal anchor

Coronary Sinus Device

Status CE-mark

NH-Cerclage Technology

St-Jude Device

Status : animal study

St-Jude Device

Chiam et al, 2011

“Coronary Sinus Devices”

• Valtech Cardioband

• Mitralign

• GDS

• Milipede Ring System

Direct Annuloplasty

Valtech Cardioband

Status : animal study

Sub-valvular placement of Anchors and a tensioning cable along the LV free wall via a retrograde trans-femoral approach

Tensioning Cable Anchors in LV wall

Under P1

14F Guide catheter

Under P3

CDS Percutaneous Ventriculoplasty: Mechanism of action

Status : feasibility study humans

Mitralign

• ReCor (ultrasound)

• QuantumCor (RF)

Annulus remodeling

Status : after human use, development holded

Annulus - devices

Arteficial cords

Leaflet repair

• Valtech V-chordal adjustable system

• Neochord Mitraflex

• Babic chords

Arteficial chords

Neochord Mitraflex

Annulus - devices

Arteficial cords

Leaflet repair

Leaflet Repair

Annulus - devices

Arteficial cords

Leaflet repair

Chamber remodeling

Coapsys device

Atrial Approach PS3 System

Coronary Sinus Anchor

Septal Anchor

Bridge

Annulus - devices

Arteficial cords

Leaflet repair

Chamber remodeling

• CardiaQ

• Endovalve

• Lutter valve

• …..

Perc. Valve replacement

Status : animal studies

CardiaQ

Status animal studies

EndoValve Lutter Valve

Status: animal studies

Other Percutaneous Valves

Summary/Conclusion

• Almost all of the surgical techniques find a

percutaneous pendant, but most are in an early stage

of development. Only cutting is not addressed (yet ?)

• MitraClip find widespread use as the clinical need of

percutaneous treatment is large

Percuanteous Mitral valve repair What devices are available

Documents

Mitral Valve Disease

Mitral Valve Disease - Upstate Medical UniversityMitral Valve Mitral Valve Regurgitation Mitral Valve Stenosis (Narrow Valve) Mitral Valve Stenosis There are two main types of mitral

MITRAL VALVE DISEASES. MITRAL VALVE DISEASES 1. Mitral valve stenosis. 2. Mitral valve regurge. 3. Mitral valve prolapse

MITRAL VALVE PROLAPSE

Homepage | STS · Web viewMitral valve repair, percutaneous Mitral valve repair, surgical Mitral valve replacement, surgical Mitral valve replacement, transcatheter Tricuspid valve

Imaging of the Mitral Valve - JFICV · Imaging of the Mitral Valve Role of CT and MRI Pr. Alban REDHEUIL ... CT RF vs. Echo grade CT vs. Echo : mitral valve motion. Mitral Valve Regurgitation

Mitral Valve Prolapse (MVP) MYXOMATOUS degeneration of the mitral valve (Floppy mitral valve, Billowing mitral leaflets). Associated with connective tissue

Percutaneous Mitral Valve Therapies

Transcather Mitral Valve-in-Valve Replacement: The New ... · and review the future of transcatheter mitral valve replacement for primary mitral valve disorders. Case Presentation

Mitral valve

About Mitral Valve Replacement

Interventional Management of Mitral Valve Diseasesaudi-heart.com/.../07/Interventional-Management-of-Mitral-Valve... · Interventional Management of Mitral Valve Disease Maiy H. El

Mitral Valve Area During Exercise After Restrictive …Mitral Valve Area During Exercise After Restrictive Mitral Valve Annuloplasty Importance of Diastolic Anterior Leaﬂet Tethering

Ton Mitral Valve Replacement

DIAGNOSIS Simplifying mitral valve disease diagnostics · Simplifying mitral valve disease diagnostics Nuala Summerfield DIAGNOSIS Myxomatous mitral valve disease (MMVD) in dogs is

FLOPPY MITRAL VALVE, MITRAL VALVE PROLAPSE, AND THE MITRAL VALVE

Mitral Valve Regurgitation and Valve Biomechanics - UWMwebman.ceas.uwm.edu/poster/sites/default/files/webform/Mitral Valve... · Mitral Valve Regurgitation and Valve Biomechanics

Mitral valve repair

The Society of Thoracic Surgeons Adult Cardiac …...Mitral valve repair, percutaneous Mitral valve repair, surgical Mitral valve replacement, surgical Mitral valve replacement, transcatheter

Mitral Valve Peravalvular (Periprosthetic) Leak. Incidence of Mitral Valve Peravalvular Leak u Reported frequency of 1.2-12.5% after mitral valve replacement