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Mitral Transcatheter Edge-To-Edge Repair
Surgery in Hyderabad

What is Mitral Transcatheter Edge-To-Edge Repair

Mitral transcatheter edge-to-edge repair (M-TEER) is a state-of-the-art catheter-based method utilized to provide therapy for mitral regurgitation, a condition in which the mitral valve does not close properly, allowing blood to leak backwards into the heart. The procedure is done without requiring open-heart surgery. M-TEER involves navigating a highly proficient device to the mitral valve through blood vessels by using state-of-the-art imaging techniques. The M-TEER procedure is planned for patients who show mitral valve disease symptoms, especially those who might not be proper candidates for traditional surgical repair.

By bringing the two ends of the mitral valve closer together, M-TEER assists in enhancing valve function and reinstating more productive blood flow through the heart. The M-TEER surgery needs precise planning and collaboration among interventional cardiologists, cardiac imaging specialists, anesthesiologists, and critical care teams to guarantee the best results. With continuous developments in structural heart surgeries, M-TEER has surfaced as a vital treatment option in modern cardiology, contributing a refined approach to managing complicated mitral valve diseases while continuing a strong focus on accuracy, safety, and personalized patient care.

Types Of M-TEER Procedures:

• MitraClip™ M-TEER: MitraClip™ is the most verified and widely utilized M-TEER repair technology for providing therapy for substantial mitral regurgitation. The device is delivered to the heart through a catheter and is utilized to hold tightly and join portions of the mitral valve leaflets, decreasing the backward flow of blood. It is normally utilized in patients who show symptoms of mitral regurgitation and who are considered to be high-risk candidates for traditional open-heart surgery.
• PASCAL ™ M-TEER: The PASCAL™ precision system is a state-of-the-art transcatheter repair device planned to improve mitral valve leaflet coaptation and decrease valve leakage. Its one-of-a-kind design includes a central spacer and independently controlled clasps, allowing accurate positioning and adaptation to different valve anatomies. The system is utilized for selected patients with moderate-to-severe or severe mitral regurgitation needing a minimally invasive treatment method.
• M-TEER for Degenerative (Primary) Mitral Regurgitation: This type of M-TEER is done for patients whose mitral regurgitation is caused by structural issues of the mitral valve itself, such as leaflet prolapse or frail leaflets. This method assists in restoring proper closure of the leaflet by bringing the affected valve leaflets together at the site of leakage. It is normally considered when symptoms continue, and the patient is not a suitable candidate for surgical valve repair.
• M-TEER For Functional (Secondary) Mitral Regurgitation: Functional mitral regurgitation is caused when the mitral valve leakage happens due to changes in size or function of the left ventricle instead of damage to the valve itself. In these patients, M-TEER improves valve closure by  decreasing the gap between valve leaflets and limiting regurgitation. The procedure is mainly performed alongside guideline-directed medical treatment for patients with heart failure and continuous mitral valve leakage.
• Single Device M-TEER: Single-device M-TEER involves the placement of one repair device across the mitral valve to decrease regurgitation. It is normally suitable for patients whose valve anatomy allows enough reduction of leakage with just a single clip or implant. This method is designed utilizing in-depth echocardiographic evaluation before and during the procedure.
• Multiple-Device M-TEER: This multiple-device M-TEER is done when one device itself does not give enough reduction in mitral regurgitation. Extra clips or repair devices are deliberately implanted to get better leaflet approximation and improve valve functioning. This method is mostly used in complicated valve anatomies or in patients with bigger regurgitant jets needing more extensive repair.