Transcatheter Mitral Valve Replacement with Intrepid

Interv Cardiol Clin. 2019 Jul;8(3):287-294. doi: 10.1016/j.iccl.2019.02.002. Epub 2019 Apr 6.

Abstract

Transcatheter mitral valve replacement with the Intrepid device is intended for patients who need mitral valve replacement and who are at an increased risk for conventional surgery. The early published results of the early feasibility trial are reviewed as well as device design and the implant procedure. The Apollo trial is reviewed: a randomized trial of the Intrepid device versus conventional surgery including a single arm study for inoperable patients. The mitral valve structure, pathophysiology, and postimplant physiology pose unique hurdles for any transcatheter implant.

Keywords: Apollo trial; Mitral regurgitation; Mitral valve; Transcatheter mitral valve replacement.

Publication types

  • Comparative Study
  • Review

MeSH terms

  • Aged
  • Aged, 80 and over
  • Alloys
  • Cardiac Catheterization / instrumentation*
  • Cardiac Catheterization / methods
  • Echocardiography, Transesophageal / methods
  • Feasibility Studies
  • Female
  • Fluoroscopy / methods
  • Heart Valve Prosthesis Implantation / adverse effects
  • Heart Valve Prosthesis Implantation / instrumentation*
  • Heart Valve Prosthesis Implantation / methods
  • Humans
  • Male
  • Mitral Valve / anatomy & histology
  • Mitral Valve / diagnostic imaging*
  • Mitral Valve Insufficiency / classification
  • Mitral Valve Insufficiency / pathology
  • Mitral Valve Insufficiency / surgery*
  • Prosthesis Design / trends
  • Randomized Controlled Trials as Topic
  • Tomography, X-Ray Computed / methods
  • Treatment Outcome

Substances

  • Alloys
  • nitinol