Catheter-based procedures to reconstruct leaky heart valves have continually improved over the past few years. New special catheter techniques now make it possible to treat even very complex cases of mitral valve deficiency by connecting defect valve leaflets and thus reducing the leak. For the first time ever, two interventions of this kind have been successfully performed in East Westphalia-Lippe, at the Herz- und Diabeteszentrum NRW (HDZ NRW), Bad Oeynhausen, in the Clinic for Interventional Cardiology/Angiology (Director: Prof. Dr. Volker Rudolph).
"The new procedure (Pascal, manufactured by: Edwards) represents a considerable addition to our technical options for catheter-based repair of the mitral valve, and also enables us to treat specific valve problems more individually", Professor Rudolph explained. Together with his team, he performed the two interventions in a 79-year-old male patient and an 82-year-old female patient, each taking 120 minutes. "This procedure particularly benefits the severely diseased who are not eligible for surgical valve reconstruction." Professor Rudolph is spokesperson for the DGK (German Cardiac Society) work group for mitral and tricuspid valve diseases.
First interventions with the Pascal system in Germany were simultaneously performed in two other German centers. The small device measures only about 1.5 centimeters and is advanced through the groin up to the defect mitral valve leaflets while the heart is still beating, eliminating any need for a heart-lung machine. The two patients treated at the HDZ by Prof. Rudolph are doing very well after the intervention and are expected to be discharged home in the next few days.
More than 500 catheter-based heart valve procedures are performed at the Herz- und Diabeteszentrum NRW per annum. The specialist HDZ Clinic for Interventional Cardiology/Angiology provides the complete range of state-of-the-art therapeutic procedures for heart valve patients, which now includes use of the Pascal system, in close cooperation with the HDZ Clinic for Electrophysiology/ Rhythmology and the HDZ Clinic for Thoracic and Cardiovascular Surgery. Overall, approx. 3,500 inpatients with heart valve diseases are treated every year.
Herz- und Diabeteszentrum Nordrhein-Westfalen
Universitätsklinik der Ruhr-Universität Bochum
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