Interventionelle Behandlung der Mitralklappe – was gibt es Neues 2019?

Abstract

Mitral regurgitation (MR) is one of the most common valvular defects in the eldery. In patients suffering from heart failure, secondary MR is common and associated with worse prognosis. Due to the usually very high operative risk these patients are immensely under-treated. This leads to an increased need for interventional treatment strategies. Until now there were no randomized data regarding the prognostic impact of interventional treatment of secondary MR. This article is supposed to sum up evidence derived from recent studies regarding this issue. Finally we will provide an outlook on catheter-based mitral valve prothesis.

Die Mitralklappeninsuffizienz ist bei älteren Patienten der häufigste Klappenfehler. Aufgrund des hohen operativen Risikos dieser Patienten besteht allerdings eine erhebliche Unterversorgung. Interventionelle Rekonstruktionsverfahren mit niedrigem Prozedurrisiko könnten eine Option sein. Doch wie ist die Datenlage dazu?

Schlüsselwörter

Mitralklappeninsuffizienz - MITRA-FR - COAPT - PASCAL - Tendyne

Key words

mitral regurgitation - MITRA-FR - COAPT - PASCAL - Tendyne

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