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Dr. Selçuk Pala Kartal Koşuyolu Araştırma Yüksek İhtisas Eğitim ve Hastanesi

PERKÜTAN MİTRAL KAPAK TAMİRİ Endikasyonlar ve Klinik Çalışmalar kapak tamir atölyesi 1-2 Kasım 2013, İSTANBUL. Dr. Selçuk Pala Kartal Koşuyolu Araştırma Yüksek İhtisas Eğitim ve Hastanesi. European Heart Journal (2007) 28, 1358–1365.

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Dr. Selçuk Pala Kartal Koşuyolu Araştırma Yüksek İhtisas Eğitim ve Hastanesi

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  1. PERKÜTAN MİTRAL KAPAK TAMİRİEndikasyonlar ve Klinik Çalışmalarkapak tamir atölyesi1-2 Kasım 2013, İSTANBUL Dr. Selçuk Pala Kartal Koşuyolu Araştırma Yüksek İhtisas Eğitim ve Hastanesi

  2. European Heart Journal (2007) 28, 1358–1365

  3. EVEREST I(EndovascularValveEdge-to-EdgeRepair) inclusioncriteria • All patients were potential candidates for MV surgery • symptomatic and/or had compromised LV function(LVEF <60% or LVESD >45 mm). • With regard to MR severity, patients met at least three out of six criteria for severity, one of which was quantitative.

  4. EVEREST I exclusion criteria • Etiology of MR being infectious or rheumatic • LVEF of <30% • LVES dimension of >55 mm • MV area of <4.0 cm2

  5. EVEREST I

  6. EVEREST II

  7. EVEREST II

  8. EVEREST II

  9. EVEREST II

  10. EVEREST II

  11. EVEREST II

  12. EVEREST II

  13. EVEREST II

  14. EVEREST II

  15. EVEREST II

  16. EVEREST II

  17. EVEREST II HRR

  18. EVEREST II comparatorgroup (n= 36)

  19. EVEREST HRS

  20. EVEREST II HRS

  21. EVEREST HRS

  22. ACCESS EU

  23. ACCESS EU

  24. ACCESS EU

  25. ACCESS EU

  26. ESC

  27. SUMMARY • TheMitraClipprocedure can be performedsafelywithlowmajoradversevent rate. • Beyond 6 months, the rate of MV surgerylow in theMitraClippatients

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