A new dawn in mitral valve treatment: Shifting toward transcatheter techniques Cover

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A new dawn in mitral valve treatment: Shifting toward transcatheter techniques

Romanian Journal of Cardiology

Volume 36 (2026): Issue 1 (March 2026)

By: Teodora-Maria Bărboi, Cătălina-Andreea Parasca, Vlad-Anton Iliescu and Crina-Ioana Rădulescu

Open Access

|Mar 2026

Figures & Tables

Randomized controlled trials of M-TEER highlighting differences in inclusion criteria and key outcomes for the composite end point of HF hospitalization, mortality, and quality of life.

Preprocedural TOE assessment in a case of SMR. (a) X-plane bicommissural and LV long-axis view (67°/157°); (b) measurement of the posterior leaflet, showing adequate length for device grasping; (c) 3D reconstruction of the mitral valve, en face (surgical) view; (d) 3D reconstruction demonstrating severe SMR due to leaflet restriction, with a centrally originating jet directed posteriorly; (e) evaluation of septal puncture feasibility; (f) multiplanar reconstruction (MPR) for calculation of the anatomical MVA.

Imagistic Criteria for Selection of Patients Eligible for M-TEER.

Intraprocedural TOE guidance during TEER for SMR. (a) Transseptal puncture in the aortic valve short-axis view (45°); (b) advancement and steering of the catheter towards the mitral plane; (c) catheter orientation perpendicular to the mitral plane, followed by valve crossing and leaflet grasping; (d), (f) device positioned above the mitral annulus, perpendicular to the leaflet coaptation line, typically at the origin of the regurgitant jet, which is reduced after device deployment; (e), (g) 3D reconstruction of the mitral valve, en face (surgical) view, after device deployment.

DOI: https://doi.org/10.2478/rjc-2026-0008 | Journal eISSN: 2734-6382 | Journal ISSN: 1220-658X

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Language: English

Page range: 2 - 18

Published on: Mar 13, 2026

Published by: Romanian Society of Cardiology

In partnership with: Paradigm Publishing Services

Publication frequency: 4 issues per year

Keywords:

mitral regurgitation,

transcatheter edge-to-edge repair,

transcatheter mitral valve replacement,

mitral annuloplasty,

paravalvular leak closure,

multimodality imaging,

structural heart intervention,

Related subjects:

Clinical medicine,

Internal medicine,

Cardiac surgery,

Pediatrics and juvenile medicine,

Paediatric cardiology

© 2026 Teodora-Maria Bărboi, Cătălina-Andreea Parasca, Vlad-Anton Iliescu, Crina-Ioana Rădulescu, published by Romanian Society of Cardiology
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

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