Valvular & structural heart disease

Transcatheter Mitral Valve Replacement With Atrial Fixation for Treatment of Atrial Functional Mitral Regurgitation

Circ Cardiovasc IntervPublished early feasibility study

Authors' conclusion

The AltaValve system shows promising early procedural and clinical results for the unique anatomy of patients with atrial functional mitral regurgitation. Long-term clinical studies to demonstrate the benefit of this system are warranted.

Study context

Population
Patients with severe, symptomatic atrial functional mitral regurgitation treated with transcatheter mitral valve replacement using the AltaValve systempatients treated · transseptal delivery 11 · transapical approach 3
Participants
14 patients
Outcome
Technical success and mitral regurgitation reduction from severe to none/trace
Methodological detailscompassionate use exemption
  • Compassionate use exemption

Main finding

As reported in the abstract

  • Achieved in all cases

Further findings

Left ventricular outflow tract obstruction

No cases

All-cause mortality · 30 days

All-cause mortality
14% (2/14)

Class III/IV New York Heart Association status · 30 days

Baseline
79%
30 days
0%

Mitral regurgitation severity · 30 days

Trace/none
90.9% (10/11)
Mild
9.1% (1/11)
  • 11 of 12 surviving patients had an available echocardiogram

Original publication

Transcatheter Mitral Valve Replacement With Atrial Fixation for Treatment of Atrial Functional Mitral Regurgitation. Circ Cardiovasc Interv. Published 20 March 2025. doi:10.1161/circinterventions.124.014985

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