Valvular & structural heart disease

Computational simulation model of transcatheter edge-to-edge mitral valve repair: a proof-of-concept study

Eur Heart J Cardiovasc ImagingPublished Proof-of-concept computational simulation study

Authors' conclusion

In this proof-of-concept study, we present preliminary results on our algorithm simulating clip implantation in five patients with functional MR. We show promising results regarding the feasibility and accuracy in terms of predicting residual MR and the need to improve the estimation of the diastolic MV area.

Study context

Population
Patients with secondary mitral regurgitation (MR) referred for clinically indicated transcatheter edge-to-edge repair (TEER)
Participants
5 patients
Exposure
Simulated TEER results vs clinical results at end of intervention
Outcome
Agreement of simulated model with procedural result
Follow-up
End of intervention
Methodological detailsprospective, finite element model
  • Prospective
  • Finite element model

Main finding

As reported in the abstract

  • Simulated models predicted well the degree and location of residual regurgitant orifice(s)
  • Simulated models tended to underestimate diastolic mitral orifice area

Observational data: associations, not effects.

Original publication

Computational simulation model of transcatheter edge-to-edge mitral valve repair: a proof-of-concept study. Eur Heart J Cardiovasc Imaging. Published 27 May 2024. doi:10.1093/ehjci/jeae137

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