medigraphic.com
ISSN 2448-5640 (Print)
Diario Oficial de la Sociedad Mexicana de Cirugía Cardiaca, A.C., y del Colegio Mexicano de Cirugía Cardiovascular y Torácica, A.C.

2018, Number 4

<< Back Next >>

Cir Card Mex 2018; 3 (4)

Mitral annuloplasty in the era of “ringless” MitraClip: All cats are grey in the dark

García-Villarreal OA

Language: Spanish
References: 26
Page: 110-114
PDF size: 161.66 Kb.


ABSTRACT

Mitral valve repair plays a fundamental role in surgical treatment for mitral regurgitation. Regardless the type of approach or surgical technique, annuloplasty ring is an absolutely must in mitral valve repair. The annuloplasty ring forces leaflet coaptation, stabilizes the repair. Edge-to-edge mitral valve repair is a simple surgical technique to fix complex situations. However, annuloplasty ring is always needed here as well. In fact, the lack of annuloplasty by means of a prosthetic ring has been identified as one of the most powerful predictors for failure after mital valve repair. MitraClip therapy is the percutaneous equivalent to the edge-to-edge surgical mitral valve repair. Inability to safely place a ring by catheter-based techniques is the weak side of the percutaneous approach for mitral valve repair in mitral valve regurgitation. Theoretically, the lack of an annuloplasty ring allows future mitral annulus dilatation as well as stress forces to break out leaflet tissue around the MitraClip device. Up to now, there is no serious study analyzing both, MitraClip and annuloplasty ring in cases for percutaneous approach. Current running studies about MitraClip are focused only in functional mitral regurgitation comparing against medical therapy. Unfortunately, there are no well-standardized and complete trials (MitraClip and percutaneous annuloplasty at once) focused on primary disease. We are comparing apples with oranges, with no possibility to get real conclusions regarding the lack of annuloplasty ring in the era of MitraClip therapy. All cats are grey in the dark. Finally, like it or not, all roads lead to Rome, at the same point.


REFERENCES

  1. Carpentier A. Reconstructive valvuloplasty. A new technique of mitral valvuloplasty.Presse Med 1969;77:251-3.

  2. Carpentier A, Deloche A, Dauptain J, et al. A new reconstructive operation for correctionof mitral and tricuspid insufficiency. J Thorac Cardiovasc Surg 1971;61:1-13.

  3. Carpentier A. cardiac valve surgery- the “French Correction”. J Thorac CardiovascSurg 1983; 86:323-37.

  4. Garcia-Villarreal OA. Mitral valve repair in degenerative disease: 100% of effectiveness.Cir Card Mex 2018; 3(3): 78-85.

  5. Gillinov AM, Cosgrove DM, Blackstone EH, et al. Durability of mitral valve repairfro degenerative disease. J Thhorac Cardiovasc Surg 1998;116:734-43.

  6. Suri RM, Clavel MA, Schaff HV, et al. Effect of Recurrent Mitral RegurgitationFollowing Degenerative Mitral Valve Repair: Long-Term Analysis of CompetingOutcomes. J Am Coll Cardiol 2016;67(5):488-98.

  7. Alfieri O, Maisano F, De Bonis M, et al. The double-orifice technique in mitralvalve repair: a simple solution for complex problems. J Thorac Cardiovasc Surg2001;122(4):674-81.

  8. De Bonis M, Lapenna E, Maisano F, et al. Long tern results (≤ 18 years) of theedge-to-edge mitral valve repair without annuloplasty ring in degenerative mitralregurgitation. Circulation 2014;130 [Suppl 1]:S19-24.

  9. De Bonis M, Lapenna E, Pozzoli A, Giacomini A, Alfieri O. Edge-to-edge surgicalmitral valve repair in the era of MitraClip. What if the annuloplasty is missed?Curr Opin Cardiol 2015;30:155-60.

  10. De Bonis M, Taramasso M, Lapenna E, et al. MitraClip therapy and surgical edgeto-edge repair in patients with severe left ventricular dysfunction and secondarymitral regurgitation: mid-term results of a single-centre experience. Eur J CardiothoracSurg 2015; 49(1):255-62.

  11. Webb JG, Harnek J, Munt BI, et al. Percutaneous transvenous mitral annuloplasty:initial human experience with device implantation in the coronary sinus.Circulation 2006; 113: 851-5.

  12. Schofer J, Siminiak T, Haude M, Percutaneous mitral annuloplasty for functionalmitral regurgitation: results of the CARILLON Mitral Annuloplasty Device EuropeanUnion Study. Circulation 2009;120(4):326-33

  13. Nickening G, Hammerstingl C, Schueler R, et al. Transcatheter mitral annuloplastyin chronic functional mitral regurgitation. 6-Month results with the Cardiobandpercutaneous mitral repair system. J Am Coll Cardiol Intv 2016;9:2039–47.

  14. Carpentier A, Adams DH, Filsoufi F. Carpentier's Reconstructive Valve Surgery.2010. Saunders: Philadelphia.

  15. Maisano F, Torracca L, Oppizzi M, et al. The edge-to-edge technique: a simplifiedmethod to correct mitral insufficiency. Eur J Cardiothorac Surg 1998;13(3):240-5.

  16. in https://www.acc.org/latest-in-cardiology/articles/2014/07/18/12/58/2014-hottopic-rollout-of-the-mitraclip. Accessed in Sept 06, 2018.

  17. In https://www.accessdata.fda.gov/cdrh_docs/pdf10/P100009A.pdf. Accessed inSept 06, 2018.

  18. del Valle-Fernández R, Jelnin V, Panagopoulos G, Ruiz CE. Insight into the dynamicsof the coronary sinus/great cardiac vein and the mitral annulus: implicationsfor percutaneous mitral annuloplasty techniques. Circ Cardiovasc Interv2009; 2(6):557-64.

  19. Maselli D, Guarracino F, Chiaramonti F, Mangia F, Borelli G, Minzioni G.Percutaneous mitral annuloplasty: an anatomic study of human coronary sinusand its relation with mitral valve annulus and coronary arteries. Circulation.

  20. 2006;114(5):377-80.20. De Bonis M, Taramasso M2, Lapenna E, et al. MitraClip therapy and surgicaledge-to-edge repair in patients with severe left ventricular dysfunction and secondarymitral regurgitation: mid-term results of a single-centre experience. Eur JCardiothorac Surg 2016; 49(1):255-62.

  21. Takagi H, Ando T, Umemoto T; ALICE (All-Literature Investigation of CardiovascularEvidence) Group. A review of comparative studies of MitraClip versussurgical repair for mitral regurgitation. Int J Cardiol 2017;228:289-294.

  22. Wan B, Rahnavardi M1, Tian DH, et al. A meta-analysis of MitraClip system versussurgery for treatment of severe mitral regurgitation. Ann Cardiothorac Surg2013;2(6):683-92.

  23. Feldman T, Kar S, Elmariah S, et al. Randomized Comparison of PercutaneousRepair and Surgery for Mitral Regurgitation: 5-Year Results of EVEREST II. JAm Coll Cardiol 2015;66(25):2844-2854.

  24. De Bonis M, Lapenna E, Buzzatti N, et al. Optimal results immediately after MitraCliptherapy or surgical edge-to-edge repair for functional mitral regurgitation:are they really stable at 4 years? Eur J Cardiothorac Surg 2016;50(3):488-94

  25. Votta E, et al. 3-D computational analysis of the stress distribution on the leafletsafter edge-to-edge repair of mitral regurgitation. J Heart Valve Dis 2002;11(6):810-22.

  26. Pan M, Jiménez-Quevedo P, Serrador A, Pérez de Prado A, Mesa D, Estévez-LoureiroR. Selección de lo mejor del año 2016 en el tratamiento de la insuficienciamitral funcional mediante implante de MitraClip. Rev Esp Cardiol. 2017;70:216-8




2020     |     www.medigraphic.com