Percutaneous Mitral Repair
Percutaneous Mitral Repair - Related Videos
08:12
Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
0 Views •
2023
This protocol demonstrates in detail how to perform fully endoscopic mitral valve surgery (EMS) with percutaneous cannulation of the groin vessels, using a percutaneous plug-based vascular closure device. Fundamental steps and useful instructions are described in detail for each step.
08:31
A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
0 Views •
2021
This protocol presents in detail how to perform real-time echocardiographic guidance during transcatheter mitral valve repair. The fundamental views and the necessary measurements are described for each stage of the procedure.
08:20
Percutaneous Cricothyrotomy
0 Views •
2023
Source: James W Bonz, MD, Emergency Medicine, Yale School of Medicine, New Haven, Connecticut, USA A surgical airway procedure is indicated when other forms of endotracheal intubation have failed and ventilation is worsening or not possible. This is the feared "can't intubate, can't ventilate" scenario, and in the emergency setting, cricothyrotomy is the surgical procedure of choice. Cricothyrotomy is preferred over tracheotomy because of the lower risk of complications, the predictable anatomy...
09:13
Optimized Protocol for the Extraction of Proteins from the Human Mitral Valve
0 Views •
2017
The protein composition of the human mitral valve is still partially unknown, because its analysis is complicated by low cellularity and therefore by low protein biosynthesis. This work provides a protocol to efficiently extract protein for the analysis of the mitral valve proteome.
07:53
Assessment of Neuromuscular Function Using Percutaneous Electrical Nerve Stimulation
0 Views •
Cited by 30 •
2015
We present a protocol to assess changes in neuromuscular function. Percutaneous electrical nerve stimulation is a non-invasive method that evokes muscular responses. Electrophysiological and mechanical properties of these responses permit the evaluation of neuromuscular function from brain to muscle (supra-spinal, spinal and peripheral levels).
FAQs
The repair device grasps the mitral leaflets and brings them closer together, reducing the space through which blood can flow backward. This changes valve function at the leaflet level rather than replacing the valve. When regurgitation decreases, a greater proportion of ventricular blood can move forward, which may improve cardiac output and lessen symptoms related to inefficient circulation.
Echocardiography provides real-time guidance for positioning the repair device and confirming that the mitral leaflets have been appropriately grasped and approximated. It also helps clinicians assess the immediate reduction in backward blood flow. This imaging-based feedback supports procedural decisions while the device is being placed and helps determine whether the intended valve-function improvement has been achieved.
Percutaneous mitral repair may be considered for selected patients with either degenerative or functional mitral regurgitation. These categories describe different clinical settings for valve dysfunction, so the underlying cause helps frame patient selection and treatment planning. The approach is especially relevant when significant regurgitation is present and conventional surgery carries elevated risk.
Clinicians introduce the catheter through the venous system and advance it to the heart. The catheter then crosses the interatrial septum to reach the mitral valve, allowing the repair device to be directed toward the leaflets. This transcatheter route avoids open-heart access while providing a pathway for leaflet grasping, approximation, and immediate assessment.
The approach is intended for selected patients with significant mitral regurgitation, particularly those who face elevated risk from surgical treatment. Patient assessment also considers whether the regurgitation is degenerative or functional. In this context, the procedure offers a less invasive treatment option for improving valve function when open-heart surgery may present substantial concerns.
Immediate assessment focuses on whether the device has reduced backward blood flow through the mitral valve and improved its function. Clinicians can also relate the procedural result to expected physiological benefits, including better forward cardiac output and potential relief of breathlessness. These findings help determine the early effectiveness of repair in the treated patient.