Table 1.
Review of percutaneous mitral valve repair trials
| Trials | Method | Efficacy | Safety |
|---|---|---|---|
| EVEREST | Single arm study to evaluate the feasibility and safety of mitral clip (n=107) | 66% met the composite end-point of improved MR, freedom from cardiac surgery and freedom from death | 104 were discharged home 5 patients had bleeding, 3 had atrial septal complications |
| EVEREST II | 279 patients with moderately severe to severe MR (almost half functional) randomized 2:1 percutaneous repair vs. conventional surgery | Effective at reducing MR Lower 30 days mortality Long durability up to 24 months Improved quality of live More frequent additional procedures | Less adverse events and Less blood transfusion in the mitral clip arm |
| TITAN | The impact of mitral annuloplasty on functional MR in 36 patients | Improvement in 6MWD and Kansas City Cardiomyopathy Questionnaire Improvement in LV geometry | No device related complications reported |
MR: Mitral regurgitation, LV: Left ventricular