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type=\u0022text\/css\u0022 rel=\u0022stylesheet\u0022 href=\u0022\/\/d282kpwvnogo5m.cloudfront.net\/sites\/default\/files\/advagg_css\/css__ce2QY63WIanKyr8eSq7eavr1XQRRmFD6ZSmwpyJi8lM__zXwFqpqmxrZOXXcd_TpBQpjuELbmIP9wBR5UuTDWAO4__YJWWMMdfCJuAFm5cUEp88OsodhO3ZA-2lzRfoBsSlk4.css\u0022 media=\u0022all\u0022 \/\u003E\n\u003Clink rel=\u0027stylesheet\u0027 type=\u0027text\/css\u0027 href=\u0027\/sites\/all\/modules\/contrib\/panels\/plugins\/layouts\/onecol\/onecol.css\u0027 \/\u003E\u003C\/head\u003E\u003Cbody\u003E\u003Cdiv class=\u0022panels-ajax-tab-panel panels-ajax-tab-panel-sageoa-tab-art\u0022\u003E\u003Cdiv class=\u0022panel-display panel-1col clearfix\u0022 \u003E\n  \u003Cdiv class=\u0022panel-panel panel-col\u0022\u003E\n    \u003Cdiv\u003E\u003Cdiv class=\u0022panel-pane pane-highwire-markup\u0022 \u003E\n  \n      \n  \n  \u003Cdiv class=\u0022pane-content\u0022\u003E\n    \u003Cdiv class=\u0022highwire-markup\u0022\u003E\u003Cdiv xmlns=\u0022http:\/\/www.w3.org\/1999\/xhtml\u0022 id=\u0022content-block-markup\u0022 xmlns:xhtml=\u0022http:\/\/www.w3.org\/1999\/xhtml\u0022\u003E\u003Cdiv class=\u0022article fulltext-view \u0022\u003E\u003Cspan class=\u0022highwire-journal-article-marker-start\u0022\u003E\u003C\/span\u003E\u003Cdiv class=\u0022section abstract\u0022 id=\u0022abstract-1\u0022\u003E\n      \u003Ch2\u003ESummary\u003C\/h2\u003E\n      \u003Cp id=\u0022p-1\u0022\u003EThis article reviewes two new techniques that are under development for percutaneous repair of the mitral valve.\u003C\/p\u003E\n   \u003C\/div\u003E\u003Cul class=\u0022kwd-group\u0022\u003E\u003Cli class=\u0022kwd\u0022\u003Evalvular disease\u003C\/li\u003E\u003Cli class=\u0022kwd\u0022\u003Einflammatory disease\u003C\/li\u003E\u003Cli class=\u0022kwd\u0022\u003Einterventional techniques \u0026amp; devices\u003C\/li\u003E\u003C\/ul\u003E\u003Cdiv class=\u0022section\u0022 id=\u0022sec-1\u0022\u003E\n      \u003Cp id=\u0022p-2\u0022\u003EMitral regurgitation (MR), the most common type of heart valve insufficiency, affects more than 4 million people in the United States [Nkomo VT et al. \u003Cem\u003ELancet\u003C\/em\u003E 2006]. The volume overload that is associated with MR and heart failure (HF) contributes to ventricular remodeling and, over time, may lead to irregular heartbeat, HF, stroke, heart attack, or death. Dilated cardiomyopathy is characterized by significant enlargement of cardiac chambers, which can lead to functional mitral regurgitation (FMR), which increases the risk of morbidity and mortality even further. Horst Sievert, MD, CardioVascular Center Frankfurt, Frankfurt, Germany, reviewed two new techniques that are under development for percutaneous repair of the mitral valve.\u003C\/p\u003E\n      \u003Cp id=\u0022p-3\u0022\u003EThe CARILLON Mitral Contour System\u2122 is a nonsurgical, minimally invasive device that is designed to repair the mitral valve and reduce FMR. It combines a proprietary implantable device and a percutaneous delivery system. The procedure starts with a venogram to characterize anatomy, then placement of a distal anchor near the anterior commissure; tension is applied to plicate the tissue to reduce MR. If a good position and reduction in MR are confirmed, the device is released. The efficacy and safety of the CARILLON system in FMR were evaluated in the Phase I TITAN trial of 53 patients with dilated ischemic or nonischemic cardiomyopathy (LVEDd \u0026gt;55 mm). Implantation was successful in 68% (36\/53) of patients. Treatment with the system was associated with an average 40% reduction in echocardiography core lab-derived quantitative measures of FMR over a period of 12 months. Six-minute walk distance and NYHA Class also improved (\u003Ca id=\u0022xref-table-wrap-1-1\u0022 class=\u0022xref-table\u0022 href=\u0022#T1\u0022\u003ETable 1\u003C\/a\u003E). There were no device-related major adverse events (AEs) at 12 months. Mortality in the implanted and nonimplanted groups was similar at 1 year [Siminiak T et al. ESC 2010].\u003C\/p\u003E\n      \u003Cdiv id=\u0022T1\u0022 class=\u0022table pos-float\u0022\u003E\n         \u003Cdiv class=\u0022table-inline\u0022\u003E\n            \u003Cdiv class=\u0022callout\u0022\u003E\n               \u003Cspan\u003EView this table:\u003C\/span\u003E\n               \u003Cul class=\u0022callout-links\u0022\u003E\u003Cli class=\u00220 first\u0022\u003E\u003Ca href=\u0022\/\u0022 class=\u0022table-expand-inline\u0022 data-table-url=\u0022\/highwire\/markup\/12528\/expansion?postprocessors=highwire_figures%2Chighwire_math%2Chighwire_inline_linked_media%2Chighwire_embed\u0026amp;table-expand-inline=1\u0022 html=\u00221\u0022 fragment=\u0022#\u0022 external=\u00221\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003EView inline\u003C\/a\u003E\u003C\/li\u003E\u003Cli class=\u00221\u0022\u003E\u003Ca href=\u0022\/highwire\/markup\/12528\/expansion?width=1000\u0026amp;height=500\u0026amp;iframe=true\u0026amp;postprocessors=highwire_figures%2Chighwire_math%2Chighwire_inline_linked_media\u0022 class=\u0022colorbox colorbox-load table-expand-popup\u0022 rel=\u0022gallery-fragment-tables\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003EView popup\u003C\/a\u003E\u003C\/li\u003E\u003Cli class=\u00222 last\u0022\u003E\u003Ca href=\u0022\/highwire\/powerpoint\/12528\u0022 class=\u0022highwire-figure-link highwire-figure-link-ppt\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003EDownload powerpoint\u003C\/a\u003E\u003C\/li\u003E\u003C\/ul\u003E\n            \u003C\/div\u003E\n         \u003C\/div\u003E\n         \u003Cdiv class=\u0022table-caption\u0022\u003E\n            \u003Cspan class=\u0022table-label\u0022\u003ETable 1.\u003C\/span\u003E \n            \u003Cp id=\u0022p-4\u0022 class=\u0022first-child\u0022\u003EFunctional Changes.\u003C\/p\u003E\n         \u003Cdiv class=\u0022sb-div caption-clear\u0022\u003E\u003C\/div\u003E\u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003Cp id=\u0022p-6\u0022\u003EThe MitraClip\u00ae System is a catheter-based therapy that is adapted from the open surgical double-orifice technique. The system is intended to be an additional option for patients who are suitable for a percutaneous approach. It consists of three major subsystems: a steerable guide catheter, a clip delivery system, and the MitraClip device (implant). The EVEREST II (Endovascular Valve Edge-to-Edge Repair Study) trial compared percutaneous mitral valve repair using the MitraClip system with surgical repair or replacement in 279 patients with moderate\/severe (3+) or severe (4+) MR who were candidates for mitral valve (MV) surgery. The primary efficacy endpoint was freedom from death, MV surgery\/reoperation, or grade 3+ or 4+ MR at 12 months. The primary safety endpoint was a composite of major AEs within 30 days. Through 2 years, there has been no device embolization, fracture, erosion, or migration [Feldman T et al. \u003Cem\u003EN Engl J Med\u003C\/em\u003E 2011]. No additional occurrence of single leaflet device attachment occurred between 1 and 2 years (the 1-year rate was 6.3%). At Year 2, in an intent-to-treat analysis, significantly more patients in the surgical group met the primary efficacy endpoint (66.3% vs 51.7%; p=0.04). However, the difference was not significant when using a comparison of treatment strategy analysis (62.7% and 66.3%, percutaneous and surgery, respectively; p=NS; \u003Ca id=\u0022xref-fig-1-1\u0022 class=\u0022xref-fig\u0022 href=\u0022#F1\u0022\u003EFigure 1\u003C\/a\u003E). Patients who underwent percutaneous MV repair had significant improvements in left ventricular (LV) end systolic\/diastolic volume and NYHA functional classification compared with patients who had surgery (p\u0026lt;0.005 in all comparisons).\u003C\/p\u003E\n      \u003Cdiv id=\u0022F1\u0022 class=\u0022fig pos-float  odd\u0022\u003E\n         \u003Cdiv class=\u0022highwire-figure\u0022\u003E\u003Cdiv class=\u0022fig-inline-img-wrapper\u0022\u003E\n            \n               \u003Cdiv class=\u0022fig-inline-img\u0022\u003E\u003Ca href=\u0022http:\/\/d282kpwvnogo5m.cloudfront.net\/content\/spmdc\/11\/6\/35\/F1.large.jpg?width=800\u0026amp;height=600\u0026amp;carousel=1\u0022 title=\u0022Primary Effectiveness Analyses at 1 and 2 Years.\u0022 class=\u0022fragment-images colorbox-load\u0022 rel=\u0022gallery-fragment-images-1646000939\u0022 data-figure-caption=\u0022Primary Effectiveness Analyses at 1 and 2 Years.\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003E\u003Cimg class=\u0022fragment-image\u0022 alt=\u0022Figure 1.\u0022 src=\u0022http:\/\/d282kpwvnogo5m.cloudfront.net\/content\/spmdc\/11\/6\/35\/F1.medium.gif\u0022\/\u003E\u003C\/a\u003E\u003C\/div\u003E\n            \n            \n         \u003C\/div\u003E\u003Cul class=\u0022highwire-figure-links inline\u0022\u003E\u003Cli class=\u00220 first\u0022\u003E\u003Ca href=\u0022http:\/\/d282kpwvnogo5m.cloudfront.net\/content\/spmdc\/11\/6\/35\/F1.large.jpg?download=true\u0022 class=\u0022highwire-figure-link highwire-figure-link-download\u0022 title=\u0022Download Figure 1.\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003EDownload figure\u003C\/a\u003E\u003C\/li\u003E\u003Cli class=\u00221\u0022\u003E\u003Ca href=\u0022http:\/\/d282kpwvnogo5m.cloudfront.net\/content\/spmdc\/11\/6\/35\/F1.large.jpg\u0022 class=\u0022highwire-figure-link highwire-figure-link-newtab\u0022 target=\u0022_blank\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003EOpen in new tab\u003C\/a\u003E\u003C\/li\u003E\u003Cli class=\u00222 last\u0022\u003E\u003Ca href=\u0022\/highwire\/powerpoint\/12527\u0022 class=\u0022highwire-figure-link highwire-figure-link-ppt\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003EDownload powerpoint\u003C\/a\u003E\u003C\/li\u003E\u003C\/ul\u003E\u003C\/div\u003E\n         \u003Cdiv class=\u0022fig-caption attrib\u0022\u003E\n            \u003Cspan class=\u0022fig-label\u0022\u003EFigure 1.\u003C\/span\u003E \n            \u003Cp id=\u0022p-7\u0022 class=\u0022first-child\u0022\u003EPrimary Effectiveness Analyses at 1 and 2 Years.\u003C\/p\u003E\n            \u003Cq class=\u0022attrib\u0022 id=\u0022attrib-1\u0022\u003EReproduced with permission from H. Sievert, MD.\u003C\/q\u003E\n         \u003Cdiv class=\u0022sb-div caption-clear\u0022\u003E\u003C\/div\u003E\u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003Cp id=\u0022p-8\u0022\u003EAlthough surgery provided more complete MR reduction, percutaneous repair was associated with increased safety, improved LV dimensions, and clinical improvements in NYHA class and quality of life. The system\u0027s positive risk-benefit profile supports its use as a treatment for patients who are not good candidates for surgery and have few other options, including elderly or frail patients and those who are at high risk for surgery.\u003C\/p\u003E\n   \u003C\/div\u003E\u003Cul class=\u0022copyright-statement\u0022\u003E\u003Cli class=\u0022fn\u0022 id=\u0022copyright-statement-1\u0022\u003E\u00a9 2011 MD Conference Express\u003C\/li\u003E\u003C\/ul\u003E\u003Cdiv class=\u0022section ref-list\u0022 id=\u0022ref-list-1\u0022\u003E\n      \u003Ch2 class=\u0022\u0022\u003EFurther Reading\u003C\/h2\u003E\n      \u003Col class=\u0022cit-list ref-use-labels\u0022\u003E\u003Cli\u003E\n            \u003Cspan class=\u0022ref-label ref-label-empty\u0022\u003E\u003C\/span\u003E\n            \u003Cdiv class=\u0022cit ref-cit ref-journal no-rev-xref\u0022 id=\u0022cit-11.6.35.1\u0022 data-doi=\u002210.1056\/NEJMoa1009355\u0022\u003E\n               \u003Cdiv class=\u0022cit-metadata\u0022\u003E\n                  \u003Col class=\u0022cit-auth-list\u0022\u003E\u003Cli\u003E\n                        \u003Cspan class=\u0022cit-auth\u0022\u003E\n                           \u003Cspan class=\u0022cit-name-surname\u0022\u003EFeldman\u003C\/span\u003E \n                            \u003Cspan class=\u0022cit-name-given-names\u0022\u003ET\u003C\/span\u003E\n                        \u003C\/span\u003E, \u003C\/li\u003E\u003Cli\u003E\n                        \u003Cspan class=\u0022cit-etal\u0022\u003Eet al.\u003C\/span\u003E\n                     \u003C\/li\u003E\u003C\/ol\u003E\n                  \u003Ccite\u003E \n                     \u003Cabbr class=\u0022cit-jnl-abbrev\u0022\u003EN Engl J Med\u003C\/abbr\u003E \n                     \u003Cspan class=\u0022cit-pub-date\u0022\u003E2011\u003C\/span\u003E; \u003Cspan class=\u0022cit-vol\u0022\u003E364\u003C\/span\u003E: \u003Cspan class=\u0022cit-fpage\u0022\u003E1395\u003C\/span\u003E\u2013\u003Cspan class=\u0022cit-lpage\u0022\u003E1406\u003C\/span\u003E.\u003C\/cite\u003E\n               \u003C\/div\u003E\n               \n            \u003Cdiv class=\u0022cit-extra\u0022\u003E\u003Ca href=\u0022{openurl}?query=rft.jtitle%253DNew%2BEngland%2BJournal%2Bof%2BMedicine%26rft.stitle%253DNEJM%26rft.aulast%253DFeldman%26rft.auinit1%253DT.%26rft.volume%253D364%26rft.issue%253D15%26rft.spage%253D1395%26rft.epage%253D1406%26rft.atitle%253DPercutaneous%2Brepair%2Bor%2Bsurgery%2Bfor%2Bmitral%2Bregurgitation.%26rft_id%253Dinfo%253Adoi%252F10.1056%252FNEJMoa1009355%26rft_id%253Dinfo%253Apmid%252F21463154%26rft.genre%253Darticle%26rft_val_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Ajournal%26ctx_ver%253DZ39.88-2004%26url_ver%253DZ39.88-2004%26url_ctx_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Actx\u0022 class=\u0022cit-ref-sprinkles cit-ref-sprinkles-openurl cit-ref-sprinkles-open-url\u0022\u003E\u003Cspan\u003EOpenUrl\u003C\/span\u003E\u003C\/a\u003E\u003Ca href=\u0022\/lookup\/external-ref?access_num=10.1056\/NEJMoa1009355\u0026amp;link_type=DOI\u0022 class=\u0022cit-ref-sprinkles cit-ref-sprinkles-doi cit-ref-sprinkles-crossref\u0022\u003E\u003Cspan\u003ECrossRef\u003C\/span\u003E\u003C\/a\u003E\u003Ca href=\u0022\/lookup\/external-ref?access_num=21463154\u0026amp;link_type=MED\u0026amp;atom=%2Fspmdc%2F11%2F6%2F35.atom\u0022 class=\u0022cit-ref-sprinkles cit-ref-sprinkles-medline\u0022\u003E\u003Cspan\u003EMedline\u003C\/span\u003E\u003C\/a\u003E\u003Ca href=\u0022\/lookup\/external-ref?access_num=000289467200004\u0026amp;link_type=ISI\u0022 class=\u0022cit-ref-sprinkles cit-ref-sprinkles-newisilink cit-ref-sprinkles-webofscience\u0022\u003E\u003Cspan\u003EWeb of Science\u003C\/span\u003E\u003C\/a\u003E\u003C\/div\u003E\u003C\/div\u003E\n         \u003C\/li\u003E\u003C\/ol\u003E\n   \u003C\/div\u003E\u003Cspan class=\u0022highwire-journal-article-marker-end\u0022\u003E\u003C\/span\u003E\u003C\/div\u003E\u003Cspan id=\u0022related-urls\u0022\u003E\u003C\/span\u003E\u003C\/div\u003E\u003Ca href=\u0022http:\/\/mdc.sagepub.com\/content\/11\/6\/35.abstract\u0022 class=\u0022hw-link hw-link-article-abstract\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003EView Summary\u003C\/a\u003E\u003C\/div\u003E  \u003C\/div\u003E\n\n  \n  \u003C\/div\u003E\n\u003C\/div\u003E\n  \u003C\/div\u003E\n\u003C\/div\u003E\n\u003C\/div\u003E\u003Cscript type=\u0022text\/javascript\u0022 src=\u0022http:\/\/mdc.sagepub.com\/sites\/all\/modules\/highwire\/highwire\/plugins\/highwire_markup_process\/js\/highwire_figures.js?nzn0uq\u0022\u003E\u003C\/script\u003E\n\u003Cscript type=\u0022text\/javascript\u0022 src=\u0022http:\/\/mdc.sagepub.com\/sites\/all\/modules\/highwire\/highwire\/plugins\/highwire_markup_process\/js\/highwire_openurl.js?nzn0uq\u0022\u003E\u003C\/script\u003E\n\u003Cscript type=\u0022text\/javascript\u0022 src=\u0022http:\/\/mdc.sagepub.com\/sites\/all\/modules\/highwire\/highwire\/plugins\/highwire_markup_process\/js\/highwire_tables.js?nzn0uq\u0022\u003E\u003C\/script\u003E\n\u003C\/body\u003E\u003C\/html\u003E"}