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Published Online First: 9 December 2005. doi:10.1136/hrt.2005.067371
Heart 2006;92:1369-1372
Copyright © 2006 BMJ Publishing Group Ltd & British Cardiovascular Society

REVIEW

Percutaneous valve repair and replacement techniques

B Munt, J Webb

St Paul’s Hospital, Vancouver, British Columbia, Canada

Correspondence to:
Dr Brad Munt
St Paul’s Hospital, 2350-1081 Burrard Street, Vancouver, British Columbia, Canada V6Z 1Y6; bmunt{at}providencehealth.bc.ca

ABSTRACT

Valvular heart disease is a significant cause of morbidity and mortality. Rates increase with age and the prevalence will increase as the population ages. Several factors have led to an interest in expanding percutaneous valve repair and replacement techniques to more lesions in more patients. This review explores current percutaneous valve repair and replacement techniques in mitral stenosis, mitral regurgitation, aortic stenosis and aortic regurgitation in adults, outlines the future directions, and discusses some technique-related issues.

Abbreviations: AR, aortic regurgitation; EVEREST, Endovascular Valve Edge-to-Edge Repair Study; I-REVIVE, Initial Registry of Endovascular Implantation of Valves in Europe; MR, mitral regurgitation; TOE, transoesophageal echocardiography; TTE, transthoracic echocardiography


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