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. Author manuscript; available in PMC: 2024 Sep 27.
Published in final edited form as: JACC Heart Fail. 2023 Aug;11(8 Pt 2):1055–1069. doi: 10.1016/j.jchf.2023.07.016

TABLE 2.

Transcatheter Mitral Valve Devices

Mechanism Device Manufacturer Implant Method Sheath Size Device Details Study Details EFS Pivotal CE Mark FDA

mTEER MitraClip Abbott Structural TFV, TS 24-F Recapitulates the surgical Alfieri stitch, creating a biorifice MV that reduces MR. 4 clip sizes. COAPT (NCT01626079) X X X
Pascal Edwards Lifesciences TFV, TS 22-F 1 clip size. Central spacer reduces central MR. CLASP IIF (NCT03706833) X X X
Dragonfly Hangzhou Valgen TFV, TS 24-F 4 clip sizes: 4- to 6-mm width, 9- to 12-mm length NCT04528576 X
TMVR Tendyne Abbott Structural TA 34-F Valve seated in an inner frame, which rests within a conformable outer frame. Device is secured by an apical tether. SUMMIT (NCT03433274) X X
Intrepid Medtronic TA, TFV, TS 35-F Dual construction with a conformable outer stent with flexible brim and a circular inner stent housing the valve APOLLO (NCT03242642) X
Sapien M3 Edwards Lifesciences TFV, TS 20-F 2-component device: valve implanted within a subannular dock ENCIRCLE (NCT04153292) X
Evoque Eos Edwards Lifesciences TFV, TS 28-F Bovine pericardial valve secured by subannular anchors MISCEND (NCT02718001) X
AltaValve 4C Medical TA 32-F Valve secured within a supra-annular spherical cage NCT03997305 X
Clarity Highlife Medical TFV, TS 39-F 2-component device; valve implanted within a subannular ring HighFLO (NCT04888247) X
Cephea Abbott Structural TFV, TS 38-F Valve anchored by axial compression created by ventricular and atrial disks NCT05061004 X
Cardiovalve Cardiovalve TFV, TS 28-F Low-profile design featuring 3 scalloped bovine pericardial leaflets AHEAD (NCT03339115) X
Saturn Innovheart TA Central valve component anchored in an annular ring NCT04464876 X
Innostay Innovalve TFV, TS 32-F Circumferential arm design seals annulus using a rotational maneuver during deployment TWIST-EFS (NCT04919980) X
Annuloplasty Carillon Cardiac Dimensions CS 9-F Device with proximal and distal helical anchors that plicate mitral periannular tissue EMPOWER (NCT03142152) X X
ARTO MVRx CS 12-F Anchors implanted in the lateral wall via the CS and the septum are bridged to reduce the MV minor axis dimensions. MAVERICK (NCT03311295) X
Other NeoChord NeoChord TA (DS1000)
TFV, TS (NeXuS)
28-F Neochordae created using a device that features a helical papillary muscle anchor and a suture that grasps the MV leaflet. ReChord (NCT02803957)
(TA)
X X (TA)
Half Moon Half Moon TFV, TS 29-F Improved native leaflet coaptation by filling the posterior aspect of the regurgitant orifice with an ePTFE-coated device implanted in a circular frame NCT04343313 X

CE = Conformite Europeenne; CS = coronary sinus; EFS = early feasibility study; ePTFE = expanded polytetrafluoroethylene; FDA = Food and Drug Administration; mTEER = mitral transcatheter edge-to-edge repair; MV = mitral valve; TA = transapical; TFV = transfemoral vein; TMVR = transcatheter mitral valve replacement; TS = transseptal; other abbreviation as in Table 1.