Transcatheter Mitral Valve Replacement (TMVR)
TMVR, also known as transcatheter mitral valve replacement is a way of replacing the mitral valve in the heart without the need for conventional open-heart surgery.
TMVR transcatheter mitral valve replacement is a treatment for mitral valve stenosis (tight mitral valve) or mitral valve regurgitation (leaky mitral valve) or a mix of the two. TMVR transcatheter mitral valve replacement has been established for treating previously operated patients who have failed bio prosthetic valve or ring. But for the native mitral valve, it is done in selected patients with suitable anatomy. Over time TMVR will likely replace mitral valve replacement open heart surgery in the future as the technology improves and the outcomes are proved.
TMVR or transcatheter mitral valve replacement is a way of replacing the mitral valve in the heart without the need for conventional open-heart surgery. TMVR transcatheter mitral valve replacement is a treatment for mitral valve stenosis (tight mitral valve) or mitral valve regurgitation (leaky mitral valve) or a mix of the two. The mitral valve is a highly complex structure, the competency and function of which relies on the harmonious action of its components.
Transcatheter mitral valve replacement is done by passing the catheter through the femoral vein (groin) and then entering the left side of the heart by septal puncture. Mitral valve is crossed and then the transcatheter valve is introduced and deployed at the mitral valve. Currently this is done for replacing a failed surgical bioprosthetic valve. For native mitral valve several newer devices are being tried.
For people who are at high risk for open heart surgery, transcatheter mitral valve replacement (TMVR) provides a newer, minimally invasive option for treating the defective mitral valve. It is commonly done for patients who have had prior mitral valve surgery and failed surgical bioprosthesis (Valve in valve procedures)
Who does it?
Team lead by Dr Sengottuvelu G, Apollo hospitals, Chennai. Team members include interventional catdiologists, anaesthetists, cardiac surgeons, imaging specialists and other specialists who have joined forces and created a partnership approach to provide exceptional care focused on patients. Team also includes physician assistants who work closely with patients and families from clinical evaluations to recovery. Together, the team combines years of education, training, and experience with advanced medical techniques and sophisticated technologies in a patient-centered environment. Shared decision-making with open communication between team members, patients and their families, and referring physicians are important keys to positive patient outcomes.