posted on 2020-11-16, 22:22authored byChunguang Chen, Alexis Okoh, Aakash Garg, Mark Russo
The catheter-based mitral intervention, particularly MitraClip, has
become an important alternative to surgical repair or replacement of the
mitral valve in patients with significant mitral regurgitation. The
field of mitral valve intervention is rapidly evolving and thus requires
more frequent updates of details and precision of cardiac imaging for
the needs of the intervention. Currently, the primary imaging modality
for assessment of mitral valve intervention is echocardiography.
However, the role of other advanced cardiac imaging modality such
cardiac MRI and cardiac CT will increase over time. The current review
describes the optimal patient’s selection criteria, outlines a
step-by-step approach with procedural imaging guidance, and defines the
role of a heart team approach in achieving optimal outcomes.