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Anatomy of a Transcatheter Mitral Valve Service

Research output: Contribution to journalArticlepeer-review

Harminder Gill, Heath S.L. Adams, Omar Chehab, Christopher Allen, Jane Hancock, Pablo Lamata, Gianluca Lucchese, Bernard Prendergast, Simon Redwood, Tiffany Patterson, Ronak Rajani

Original languageEnglish
Article number862471
JournalFrontiers in Cardiovascular Medicine
Volume9
DOIs
Published15 Apr 2022

Bibliographical note

Funding Information: This study was supported by BHF Translational Award Ref: TG/17/3/33406; EU's Horizon 2020 R&I program under the Marie Skłodowska-Curie g.a. No. 764738; Wellcome Trust/EPSRC Centre for Medical Engineering (WT 203148/Z/16/Z). PL holds a Wellcome Trust Senior Research Fellowship (209450/Z/17/Z). Publisher Copyright: Copyright © 2022 Gill, Adams, Chehab, Allen, Hancock, Lamata, Lucchese, Prendergast, Redwood, Patterson and Rajani.

King's Authors

Abstract

Transcatheter mitral therapies offer treatment options to selected patients who are unable to undergo open procedures due to prohibitive surgical risk. Data detailing the design and structure of transcatheter mitral services to ensure appropriate patient selection and tailored management strategies is lacking. We report our initial experience of developing and running a purpose-built transcatheter mitral service. The nature and number of referral sources, the multi-disciplinary make-up of the dedicated Mitral Heart Team and the use of integrative imaging assessment with incorporation of computational solutions are discussed. In addition, a summary of the clinical decision-making process is presented. This report sets out a framework from which future clinics can evolve to improve and streamline the delivery of transcatheter mitral therapies.

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