Journals / The Anatolian Journal of Cardiology / 2021 / Cilt: 25 - Sayı: 12

Alternative methods to overcome the challenging anatomy of the coronary sinus during percutaneous mitral annuloplasty procedure

Pages
924–925
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

When properly deployed within the CS, it can lead to marked symptomatic and functional improvement with a low rate of major adverse events (1-3).

📌 3 Key Takeaways

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Objective & Hypothesis:Dilated cardiomyopathy (DCM) is usually associated with variable degrees of functional mitral regurgitation (FMR), which contributes to higher morbidity and mortality.
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Key Findings & Data:At present, the optimal management strategy for FMR is not clearly defined in the guidelines.
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Conclusion & Impact:When properly deployed within the CS, it can lead to marked symptomatic and functional improvement with a low rate of major adverse events (1-3).
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Özet

Dilated cardiomyopathy (DCM) is usually associated with variable degrees of functional mitral regurgitation (FMR), which contributes to higher morbidity and mortality. At present, the optimal management strategy for FMR is not clearly defined in the guidelines. A variety of percutaneous valve interventions to improve patients’ quality of life and decrease morbidity and mortality have been developed recently. The CARILLON Mitral Contour System is a fully transvenous approach using the anatomical proximity of the coronary sinus (CS) to the mitral annulus. In this technique, a device consisting of distal and proximal anchors linked by a flexible nitinol clip is introduced via the CS to encircle around two thirds of the mitral annulus, thereby, creating a tension constricting the mitral annulus (1). When properly deployed within the CS, it can lead to marked symptomatic and functional improvement with a low rate of major adverse events (1-3).

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Cite This Article

GÖRMEL, S., YAŞAR, S., MURAT, E., KÖKSAL, O., YÜKSEL, U. Ç., BARÇIN, C., ÇELİK, M. (2021). Alternative methods to overcome the challenging anatomy of the coronary sinus during percutaneous mitral annuloplasty procedure. The Anatolian Journal of Cardiology, Cilt: 25 - Sayı: 12, 924–925. https://ajindex.com/articles/366648

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References (1)

  1. Witte KK, Lipiecki J, Siminiak T, Meredith IT, Malkin CJ, Goldberg SL, et al. The REDUCE FMR Trial: A Randomized Sham-Controlled Study of Percutaneous Mitral Annuloplasty in Functional Mitral Regurgitation. JACC Heart Fail 2019; 7: 945-55. [Crossref] 2. Schofer J, Siminiak T, Haude M, Herrman JP, Vainer J, Wu JC, et al. Percutaneous mitral annuloplasty for functional mitral regurgitation: results of the CARILLON Mitral Annuloplasty Device European Union Study. Circulation 2009; 120: 326-33. [Crossref] 3. Siminiak T, Wu JC, Haude M, Hoppe UC, Sadowski J, Lipiecki J, et al. Treatment of functional mitral regurgitation by percutaneous annuloplasty: results of the TITAN Trial. Eur J Heart Fail 2012; 14: 931-8. [Crossref] 4. Block PC. Percutaneous mitral valve repair: are they changing the guard? Circulation 2005; 111: 2154-6. [Crossref] 5. El Said AM, Chase D, Al Rawahy NZ. Percutaneous Carillon Mitral Contour System Deployment Followed by CRT-D Implantation: First Case Report from Oman. Oman Med J 2018; 33: 531-4. [Crossref]