Transcatheter Mitral Valve Repair (TMVR)

A Minimally Invasive Procedure to Treat Mitral Regurgitation

What is Transcatheter Mitral Valve Repair (TMVR)?

Transcatheter mitral valve repair, or TMVR for short, is a minimally invasive medical procedure used to treat mitral regurgitation, a condition where the mitral valve in the heart does not close properly, causing blood to flow backward into the heart.

What type of procedure is it?

TMVR is a minimally invasive procedure that involves threading a small tube, called a catheter, through an artery in the leg or chest and up to the heart. The repair device is then implanted in the mitral valve to help it close properly.

How long does TMVR surgery usually take?

The procedure typically takes 2-4 hours.

When is it recommended to have TMVR surgery?

Transcatheter mitral valve repair, or TMVR, is recommended for patients with moderate to severe mitral regurgitation who are not candidates for traditional open-heart surgery due to age, health conditions, or other factors.

What happens during TMVR surgery?

During the procedure, the patient is given medication to help them relax and local anesthesia to numb the area where the catheter will be inserted. The catheter is then inserted into an artery in the leg or chest and guided to the heart, where the repair device is implanted in the mitral valve.

What do you need to do before the procedure?

An echocardiogram is an essential test prior to surgery. A hemodynamic evaluation will also be carried out, in which the gradients and areas of the mitral valve will be measured. Patients will also need to undergo additional tests to evaluate their overall health. They may also need to stop taking certain medications and fast for a period of time before the procedure.

What should you do after the procedure?

After TMVR surgery, patients should follow their doctor’s instructions regarding medications, activity level, and follow-up appointments. They should also inform their doctor of any symptoms or concerns they may have.

What are the post-procedural recommendations?

After TMVR surgery, patients will need to stay in the hospital for a few days for monitoring and recovery. They may need to take medications to prevent blood clots and avoid strenuous activity for several weeks.

What are the possible complications, and how likely are they to occur?

Possible complications of TMVR include bleeding, infection, stroke, and damage to the heart or blood vessels. While these complications are rare, they can occur in some cases.

How long will you need to stay in the hospital after the procedure?

After mitral valve repair or replacement surgery, most patients will usually stay 1-3 days in the intensive care unit (ICU).

How long will it take to fully recover after TMVR surgery?

Recovery time varies depending on the individual patient and the complexity of the case. Patients can typically resume normal activities within a few weeks to a few months after the procedure.

In conclusion, Transcatheter Mitral Valve Repair, or TMVR as it is commonly known, is a minimally invasive procedure that can be a safe and effective treatment option for patients with moderate to severe mitral regurgitation who are not candidates for traditional open-heart surgery.

While there are risks associated with the procedure, they are generally low, and the benefits of improved heart function and quality of life can be significant. If you have mitral regurgitation, talk to your doctor about whether TMVR may be an appropriate treatment for you.

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