Current status of transcatheter mitral valve therapy in Europe: results from an EAPCI survey (Part II).

Petronio, Anna Sonia; Capranzano, Piera; Barbato, Emanuele; Piazza, Nicolò; Baumbach, Andreas; Haude, Michael; Windecker, Stephan (2017). Current status of transcatheter mitral valve therapy in Europe: results from an EAPCI survey (Part II). EuroIntervention, 12(16), pp. 1934-1939. Europa Digital & Publishing 10.4244/EIJ-D-16-00678

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AIMS The European Association of Percutaneous Coronary Interventions (EAPCI) assessed the current status of transcatheter valve therapy in Europe through a web-based survey. Our aim here was to report the results of that survey regarding trends in percutaneous mitral valve repair (PMVR) therapy. METHODS AND RESULTS Among 301 European centres participating in the overall EAPCI survey, 246 (81.7%) responded to the PMVR section questions. A total of 176 (71.5%) have been undertaking a PMVR programme. Among responding centres (n=129), 58.1%, 15.5% and 26.4% performed ≤10, >10-40 and >40 PMVR procedures, respectively, in 2014. The majority of centres performing >40 PMVR procedures in 2014 were in Germany (82.4%). MitraClip was the most commonly performed technique (used in 91.8% of centres) followed by the valve-in-ring or valve-in-valve for failed surgical prostheses using transcatheter aortic valve devices (41.5%). Of those centres not performing PMVR (n=70), 41.4% were not considering initiating a programme, mostly for economic reasons (69.0%), or because of limited data available (20.7%) or no interest (10.3%). CONCLUSIONS The second part of this EAPCI survey documents the limited PMVR penetration in Europe, despite an increasing interest. Possible reasons for this include economic, regulatory and logistic issues, challenging techniques, along with a lack of compelling studies and clear indications.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Cardiovascular Disorders (DHGE) > Clinic of Cardiology

UniBE Contributor:

Windecker, Stephan

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1774-024X

Publisher:

Europa Digital & Publishing

Language:

English

Submitter:

Nadia Biscozzo

Date Deposited:

12 Feb 2018 14:07

Last Modified:

22 Oct 2019 18:52

Publisher DOI:

10.4244/EIJ-D-16-00678

PubMed ID:

28317788

BORIS DOI:

10.7892/boris.111100

URI:

https://boris.unibe.ch/id/eprint/111100

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