Prevention and Treatment of Left Ventricular Outflow Tract Obstruction After Transcatheter Mitral Valve Replacement. [Review] 

 -  2019 
<br/><br/> Copyright (c) 2019 Elsevier Inc. All rights reserved.  Transcatheter mitral valve replacement (TMVR) is a promising strategy for patients with mitral valve disease and no surgical options. Left ventricular outflow tract (LVOT) obstruction is a life-threatening complication of TMVR. Although there are no commercially available devices to prevent LVOT obstruction, the risk of it can be reduced by careful preprocedure planning and the use of novel modifications to commercially available devices. This article summarizes current techniques to prevent LVOT obstruction with an emphasis on electrosurgical strategies. 
<br/><br/><br/>English 
<br/><br/><label>ISSN: </label>2211-7458 
<br/><br/><label>Standard No.: </label>10.1016/j.iccl.2019.02.005 [doi] S2211-7458(19)30017-3 [pii] 
<br/><br/><label>Subjects--Topical Terms: </label><br/>*Heart Valve Prosthesis Implantation/ae [Adverse Effects]<br/>*Mitral Valve Insufficiency/su [Surgery]<br/>*Ventricular Outflow Obstruction/pc [Prevention & Control]<br/>Aged, 80 and over<br/>Cardiac Catheterization/mt [Methods]<br/>Echocardiography/mt [Methods]<br/>Electrosurgery/mt [Methods]<br/>Female<br/>Humans<br/>Mitral Valve Insufficiency/dg [Diagnostic Imaging]<br/>Severity of Illness Index<br/>Tomography, X-Ray Computed/mt [Methods]<br/>Ventricular Outflow Obstruction/dg [Diagnostic Imaging]<br/>Ventricular Outflow Obstruction/su [Surgery]<br/>Ventricular Septum/dg [Diagnostic Imaging]<br/>Ventricular Septum/pa [Pathology]
<br/><br/><label>Subjects--Geographic Terms: </label><br/>MedStar Heart & Vascular Institute
<br/><br/><label>Index Terms--Function: </label><br/>Journal Article<br/>Review