Table 1

 Summary of new percutaneous treatments for valve disease

Technique Current status
Mitral
Balloon valvuloplastyClinical practice. Suitable for most pure stenosis
Edge-to-edge repairPositive early human experience. Entering clinical trials
Coronary sinus annuloplastyExperimental, few human cases performed
Aortic
Balloon valvuloplastyClinical practice. Only suitable for congenital stenosis or as a palliative procedure
Percutaneous valveEarly human experience. Further development of device design will improve clinical results
Pulmonary
Balloon valvuloplastyClinical practice. Suitable for congenital valvar stenosis
Bare stentClinical practice. Suitable for acquired conduit stenosis
Likely to be discarded in favour of percutaneous valve
Percutaneous valvePositive human experience. Entering clinical trials
Likely to become clinical practice in the near future
Tricuspid
Percutaneous valveExperimental, clinical applications remote
Hybrid procedures combining percutaneous techniques with minimally invasive surgery are likely to become more popular