Failed Transcatheter Mitral Repair Will Require Valve Replacement medscape.com - get the latest breaking news, showbiz & celebrity photos, sport news & rumours, viral videos and top stories from medscape.com Daily Mail and Mail on Sunday newspapers.
If MitraClip Fails 95 Percent of Patients Will Need Surgical Valve Replacement
Cardiac surgeons say mitral regurgitation patients need to be better screened and counseled before getting a transcatheter repair
If MitraClip fails and a surgical repair is required, a late-breaking study presented at the 2021 AATS meeting showed 95 percent of patients will require a full surgical valve replacement.
May 4, 2021 – A new study, presented at the 2021 American Association for Thoracic Surgery (AATS) 101st annual meeting, and simultaneously published in the Journal of the American College of Cardiology (JACC), finds that patients suffering from severe mitral regurgitation should be carefully screened and counseled before undergoing transcatheter edge-to-edge mitral repair (TEER).[1] Data showed that up to 95 percent of patients who needed surgery after failed TEER could not have their valves repaired, and needed a full surgical mitral valve replacement to resolve the issue.
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Boston, MA (May 1, 2021) - A new study, presented today at the AATS 101st Annual Meeting, and simultaneously published in the
Journal of the American College of Cardiology, finds that patients suffering from severe mitral regurgitation should be carefully screened and counselled before undergoing transcatheter edge-to-edge mitral repair (TEER). Data showed that up to 95 percent of patients who needed surgery after failed TEER could not have their valves repaired, and needed mitral valve replacement to resolve the issue. The findings highlight the need to select patients carefully for TEER.
As a less invasive approach, TEER is an attractive alternative treatment to mitral valve surgery, particularly in older patients. However, TEER is not currently recommended for younger patients who benefit more from a surgical repair long-term. This caution is supported by this study of 463 patients which provides the first national data on surgical outcomes when TEER fails. The surgi
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Far more heart patients have used telehealth appointments in the COVID-19 era than before the pandemic, but cardiologists ordered fewer diagnostic tests and medications for remote patients than for those who saw their doctors in person, research from the Smidt Heart Institute at Cedars-Sinai Medical Center has found.
The data, published Monday in JAMA Network Open, also showed patients who tapped into remote visits were more likely to be Asian, Black or Hispanic, have private insurance and have cardiovascular conditions such as hypertension, coronary artery disease, atrial fibrillation and heart failure.
Reduced access to electrocardiograms and other cardiac tests and less clarity in communication during virtual visits may partly explain the overall decrease in diagnostic testing during remote care, the researchers said, but further studies are needed to understand whether less frequent testing leads to missed diagnoses. GE Healthcare, Philips and Hill-Rom are among th