EDGE-TO-EDGE MITRAL REPAIR. FROM A SURGICAL TO A PERCUTANEOUS APPROACH

This is the first comprehensive review of the edge-to-edge technique for mitral repair, which was introduced into the surgical armamentarium in 1991 by one of the authors, Ottavio Alfieri. The surgical technique employed in edge-to-edge repair today provides the basis for the only reliable method of percutaneous correction of degenerative mitral regurgitation. The book traces the evolution of the edge-to-edge technique from a surgical to a percutaneous approach, documenting indications, contraindications, technical aspects, controversies and clinical outcomes. Detailed attention is devoted to the MitraClip procedure, which reproduces the Alfieri stitch percutaneously and has to date been used in more than 13,000 patients worldwide.

The state of the art in MitraClip therapy is described, with clear explanation of when and how to use the MitraClip system. The reader will learn all aspects of percutaneous edge-to-edge repair, which is recommended for use in carefully selected patients in the new ESC/EACTS guidelines for the management of valvular heart disease and in the ESC guidelines on heart failure. Clinical application of the edge-to-edge technique for mitral repair by percutaneous methods has opened a new age in the fascinating field of reconstructive mitral valve surgery. The group at San Raffaele Hospital, Milan, has accumulated by far the largest experience in the world with the technique and over the years has been very active in its promotion and scientific evaluation. This book reflects that depth of knowledge and will be of great interest to cardiac surgeons and interventional and clinical cardiologists.

Feature:
- Provides detailed information on all aspects of the edge-to-edge technique for mitral repair
- Traces its evolution from a surgical to a percutaneous approach
- Describes the state of the art in Mitra Clip therapy
- Co-written by the inventor of the technique.

Table of contents (16 chapter)
1.The Genesis of the Edge-to-Edge Technique
2.The Principle: From a Computational Model to Clinical Validation
3.Technical Aspects: Sternotomy and Minimally Invasive Approaches
4.Is There a Role for the Edge-to-Edge Technique in Robotic Valve Mitral Repair?
5.Echocardiographic Assessment of a Double-Orifice Mitral Valve: Tips and Tricks
6.The Early Phase of Clinical Application: Lessons Learned
7.Results of the Edge-to-Edge Mitral Valve Repair
8.Edge-to-Edge Technique for Mitral Regurgitation Associated with Hypertrophic Cardiomyopathy
9.Mitral Stenosis After Edge-to-Edge Repair: Is It an Issue?
10.Surgical Indications and Contraindications of the Edge-to-Edge
11.The Case of Surgical Edge-to-Edge Repair Without Annuloplasty: Now We Know
12.Evolution of the Edge-to-Edge Repair: From a Surgical to a Percutaneous Approach
13.State of the Art of the MitraClip Therapy: Who, When, and How?
14.Clinical Results of the Percutaneous Edge-to-Edge Repair: Lights and Shadows
15.Future Perspectives of the Edge-to-Edge Repair
16.Conclusions