Transcatheter Mitral Valve Repair (TMVr)

Transcatheter mitral valve repair (TMVr) allows our doctors to repair a leaky mitral valve using a minimally invasive approach. Because surgery is not required, patients usually go home the next day and are able to resume their daily activities. Our team members have the most experience with TMVr in the state.

The Frankel Cardiovascular Center’s Comprehensive Heart Valve Program is Michigan’s premier program for mitral valve repair. Guided by the pillars of excellence, innovation and patient-centered care, we offer a world-class, personalized patient experience.

The Frankel Cardiovascular Center Advantage for Transcatheter Mitral Valve Repair

Our specialized TMVr care program features:

  • Unparallelled expertise: You have access to world-class experts who are leaders in the field. The surgeon who performed the first MitraClip® procedure in the U.S. is one of our distinguished team members.
  • High volume: With the highest volume of MitraClip procedures in the state, our experience leads to exceptional patient outcomes.
  • Multispecialty team: We have a special team dedicated to transcatheter approaches like mitral valve repair. Our MATRIx (Mitral and Tricuspid Intervention) team includes cardiologists, cardiovascular surgeons, radiologists, anesthesiologists, nurse practitioners, nurse care coordinators and others.
  • Two-doctor procedure team: Transcatheter procedures are performed jointly by a cardiologist who specializes in catheter-based procedures and a cardiovascular surgeon. They work together to evaluate placement of the device and ensure proper fit. Our echocardiography imaging team provides precise echo pictures to guide the procedure and ensure excellent outcomes.
  • One-on-one education: Our nurse care coordinators are your main point of contact for the duration of your care. They provide education and support and help you connect to your care team.
  • Follow-up care: Your recovery and continued health are important to us. Our nurse care coordinators will track your progress after you leave the hospital.

Minimally Invasive Mitral Valve Repair

Repair is the most common treatment for patients with a leaking mitral valve (regurgitation).

Regurgitation occurs when the valve’s leaflets do not close fully and blood leaks backward. The leaking blood can cause the left atrium to dilate (expand) and the left ventricle to work harder. This can lead to atrial fibrillation (irregular heartbeat), cardiomyopathy (heart muscle disease) and heart failure.

TMVr uses a catheter (thin tube) inserted into a vein in your groin and guided to your heart. The doctor inserts a clip through the catheter and uses the clip to fasten the leaflets together.

Because the clip only closes off part of the valve, blood still flows around the repaired area when the valve opens. When the valve closes, the clip helps the leaflets stay closed and prevents backflow of blood.

Two clips are available for mitral valve repair:

  • MitraClip®, which is approved by the Food and Drug Administration (FDA)
  • PASCAL®, which is available through a clinical trial

Who is Eligible for Transcatheter Mitral Valve Repair?

TMVr is FDA-approved for high-risk patients who are not candidates for surgery. And clinical trials are underway to determine how effective the procedure is in moderate- and low-risk patients.

Doctors determine surgical risk by a patient’s age and pre-existing medical problems that could lead to complications during or after surgery:

  • High-risk patients are usually older and have multiple chronic conditions. They are more likely to experience serious complications from major surgery.
  • Moderate- and low-risk patients are typically younger and have fewer underlying health problems. They are better able to undergo open procedures with fewer complications.

Clinical Trials for Mitral Valve Repair

Our doctors are leaders in clinical trial research. Their expertise in clinical trial development is helping make minimally invasive repair procedures more widely available.

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Make an Appointment

To schedule an evaluation with a Frankel Cardiovascular Center physician, call 888-287-1082. Or visit the Make a Cardiovascular Appointment page to learn what to expect when you call us.

Physicians: To refer a patient, call M-Line at 800-962-3555.