Valoración ecocardiográfica del paciente para reparación valvular mitralpercutánea con dispositivo MitraClip

Autores/as

  • Julio C Sauza-Sosa Departamento de Cardiología y Ecocardiografía. Centro Médico ABC, Ciudad de México, México https://orcid.org/0000-0002-8708-7254
  • Oscar Millán-Iturbe Departamento de Intervencionismo Estructura. Centro Médico ABC, Ciudad de México, México. Centro Médico Nacional Siglo XXI, Ciudad de México, México

DOI:

https://doi.org/10.37615/retic.v6n1a2

Palabras clave:

mitraclip, reparación percutánea mitral, insuficiencia mitral, ecocardiograma

Resumen

El siguiente artículo es una síntesis de la evaluación ecocardiográfica en los pacientes que son candidatos a la reparación percutánea de la válvula mitral. La insuficiencia mitral es la segunda valvulopatías más frecuente en el mundo y contribuye de forma importante al desarrollo de insuficiencia cardiaca, por lo que es primordial realizar un tratamiento adecuado y oportuno. El ecocardiograma es la principal herramienta para valorar la severidad y etiología de esta entidad; además de que actualmente en los pacientes en los cuales es prohibitivo o de alto riesgo realizar un tratamiento quirúrgico, tiene un papel fundamental en la selección de los mismos para realizar la reparación percutánea de la válvula mitral. Por lo que para el cardiólogo clínico, ecocardiografista e intervencionista es de suma importancia conocer el método adecuado para la selección de estos pacientes.

Descargas

Los datos de descargas todavía no están disponibles.

Métricas

Cargando métricas ...

Citas

Cahill TJ, Prothero A, Wilson J, Kennedy A, Brubert J, Masters M, et al. Community prevalence,mechanisms and outcome of mitral or tricuspid regurgitation. Heart 2021; 107:1003-09. DOI: https://doi.org/10.1136/heartjnl-2020-318482

Vahanian A, Beyersdorf F, Praz F, Milojevic M, Baldus S, Bauersachs J, et al; ESC/EACTS Scientific Document Group. 2021 ESC/EACTS Guidelines for the management of valvular heart disease. Eur Heart J. 2022 Feb 12;43(7):561- 632. DOI: https://doi.org/10.1093/ejcts/ezac209

Feldman T, Foster E, Glower DD, Kar S, Rinaldi MJ, Fail PS, et al; EVEREST II Investigators. Percutaneous repair or surgery for mitral regurgitation. N Engl J Med. 2011 Apr 14;364(15):1395-406.

Lung B, Armoiry X, Vahanian A, Boutitie F, Mewton N, Trochu JN, et al; MITRA-FR Investigators. Percutaneous repair or medical treatment for secondary mitral regurgitation: outcomes at 2 years. Eur J Heart Fail 2019;21:1619-27. DOI: https://doi.org/10.1002/ejhf.1616

Stone GW, Lindenfeld J, Abraham WT, Kar S, Lim DS, Mishell JM, et al; COAPT Investigators. Transcatheter mitral-valve repair in patients with heart failure. N Engl J Med 2018;379:2307-18. DOI: https://doi.org/10.1056/NEJMoa1806640

Zoghbi WA, Adams D, Bonow RO, Enriquez-Sarano M, Foster E, Grayburn PA, et al. Recommendations for noninvasive evaluation of native valvular regurgitation: a report from the American Society of Echocardiography developed in collaboration with the Society for Cardiovascular Magnetic Resonance. J Am Soc Echocardiogr 2017;30:303-71. DOI: https://doi.org/10.1016/j.echo.2017.01.007

Hahn RT, Abraham T, Adams MS, Bruce CJ, Glas KE, Lang RM, et al. Guidelines for performing a comprehensive transesophageal echocardiographic examination: recommendations from the American Society of Echocardiography and the Society of Cardiovascular Anesthesiologists. J Am Soc Echocardiogr 2013;26:921-64. DOI: https://doi.org/10.1016/j.echo.2013.07.009

Lancellotti P, Moura L, Pierard LA, Agricola E, Popescu BA, Tribouilloy C, et al. European Association of Echocardiography recommendations for the assessment of valvular regurgitation. Part 2: mitral and tricuspid regurgitation (native valve disease). Eur J Echocardiogr 2010;11:307-32 DOI: https://doi.org/10.1093/ejechocard/jeq031

Grayburn PA, Sannino A, Packer M. Proportionate and Disproportionate Functional Mitral Regurgitation: A New Conceptual Framework That Reconciles the Results of the MITRA-FR and COAPT Trials. JACC Cardiovasc Imaging. 2019 Feb;12(2):353-62. DOI: https://doi.org/10.1016/j.jcmg.2018.11.006

Feldman T, Foster E, Glower DD, Glower DG, Kar S, Rinaldi MJ, et al. Percutaneous repair or surgery for mitral regurgitation. N Engl J Med 2011;364:1395- 406 DOI: https://doi.org/10.1056/NEJMoa1009355

Singh GD, Smith TW, Rogers JH. Targeted transseptal access for MitraClip percutaneous mitral valve repair. Interv Cardiol Clin 2016;5:55-69. DOI: https://doi.org/10.1016/j.iccl.2015.08.005

Paulsen JM, Smith TW. Echocardiographic imaging of the mitral valve for transcatheter edge-to-edge repair. Interv Cardiol Clin 2016;5:17-31. DOI: https://doi.org/10.1016/j.iccl.2015.08.002

Nyman CB, Mackensen GB, Jelacic S, Little SH, Smith TW, Mahmood F. Transcatheter Mitral Valve Repair Using the Edge-to-Edge Clip. J Am Soc Echocardiogr. 2018 Apr;31(4):434-53. DOI: https://doi.org/10.1016/j.echo.2018.01.012

Flint N, Price MJ, Little SH, Mackensen GB, Wunderlich NC, Makar M, et al. State of the Art: Transcatheter Edge-to-Edge Repair for Complex Mitral Regurgitation. J Am Soc Echocardiogr. 2021 Oct;34(10):1025-37. DOI: https://doi.org/10.1016/j.echo.2021.03.240

Gavazzoni M, Taramasso M, Zuber M, Russo G, Pozzoli A, Miura M, et al. Conceiving MitraClip as a tool: percutaneous edge-to-edge repair in complex mitral valve anatomies. Eur Heart J Cardiovasc Imaging. 2020 Oct 1;21(10):1059-67. DOI: https://doi.org/10.1093/ehjci/jeaa062

Paranskaya L, D’Ancona G, Bozdag-Turan I, et al. Residual mitral valve regurgitation after percutaneous mitral valve repair with the MitraClip(R) system is a risk factor for adverse one-year outcome. Catheter Cardiovasc Interv. 2013;81:609–17. DOI: https://doi.org/10.1002/ccd.24586

Faletra FF, Pozzoli A, Agricola E, et al. Echocardiographic- fluoroscopic fusion imaging for transcatheter mitral valve repair guidance. Eur Heart J Cardiovasc Imaging. 2018;19:715–726. DOI: https://doi.org/10.1093/ehjci/jey067

Huntgeburth M, Müller-Ehmsen J, Brase C, et al. Thrombus formation at the MitraClip system during percutaneous mitral valve repair. JACC Cardiovasc Interv 2014;7:e111-2. DOI: https://doi.org/10.1016/j.jcin.2014.03.010

Benito-González T, Estévez-Loureiro R, Gualis J. Chordal Rupture Following MitraClip Implantation Resulting in Massive Mitral Regurgitation. J Invasive Cardiol 2015;27:E224-5.

Citro R, Baldi C, Mastrogiovanni G, et al. Partial clip detachment and posterior mitral leaflet perforation after mitraclip implantation. Int J Cardiol 2014;171:e113-6. DOI: https://doi.org/10.1016/j.ijcard.2013.12.040

Maisano F, Franzen O, Baldus S, et al. Percutaneous mitral valve interventions in the real world: early and 1-year results from the ACCESS-EU, a prospective, multicenter, nonrandomized post-approval study of the MitraClip therapy in Europe. J Am Coll Cardiol 2013;62:1052-61. DOI: https://doi.org/10.1016/j.jacc.2013.02.094

Millan-Iturbe O, Aguilar-De La Torre D, Sauza-Sosa J, et al. MitraClip Detachment and Recapture in a Patient With Catastrophic Antiphospholipid Syndrome. J Am Coll Cardiol Intv. 2019 Dec, 12 (24) e211–13. DOI: https://doi.org/10.1016/j.jcin.2019.08.007

Orban M, Orban M, Lesevic H, Braun D, Deseive S, Sonne C, et al. Predictors for long-term survival after transcatheter edge-to-edge mitral valve repair. J Interv Cardiol 2017;30:226-33. DOI: https://doi.org/10.1111/joic.12376

Goel S, Pasam RT, Wats K, Chava S, Gotesman J, Sharma A, et al. Mitraclip Plus Medical Therapy Versus Medical Therapy Alone for Functional Mitral Regurgitation: A Meta-Analysis. Cardiol Ther. 2020 Jun;9(1):5-17. DOI: https://doi.org/10.1007/s40119-019-00157-3

Descargas

Publicado

2023-04-30

Cómo citar

1.
Sauza-Sosa JC, Millán-Iturbe O. Valoración ecocardiográfica del paciente para reparación valvular mitralpercutánea con dispositivo MitraClip. Rev Ecocar Pract (RETIC) [Internet]. 30 de abril de 2023 [citado 16 de abril de 2024];6(1):5-15. Disponible en: https://imagenretic.org/RevEcocarPract/article/view/533