Percutaneous mitral annuloplasty with hemodynamic monitoring
First Claim
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1. A method of treating a patient, comprising the steps of:
- transluminally advancing a prosthesis into the coronary sinus;
manipulating the prosthesis to exert a compressive force on the mitral valve annulus;
monitoring hemodynamic function to assess mitral valve regurgitation; and
adjusting the prosthesis in response to the monitoring step.
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Abstract
A minimally invasive method of performing mitral annuloplasty is disclosed. An implantable device is positioned within the coronary sinus and tightened around the mitral annulus. Mitral valve regurgitation is monitored before, during, and/or after the tightening step. An on-going drug therapy may be determined, taking into account post-implantation hemodynamic function.
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Citations
37 Claims
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1. A method of treating a patient, comprising the steps of:
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transluminally advancing a prosthesis into the coronary sinus;
manipulating the prosthesis to exert a compressive force on the mitral valve annulus;
monitoring hemodynamic function to assess mitral valve regurgitation; and
adjusting the prosthesis in response to the monitoring step. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18)
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19. A method of remodeling a mitral valve annulus to reduce mitral valve regurgitation, comprising the steps of:
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providing a prosthesis which is adjustable between a first configuration for positioning adjacent the mitral valve annulus and a second configuration for exerting a compressive force against the mitral valve annulus;
advancing the prosthesis to a position adjacent the mitral valve annulus;
manipulating the prosthesis to reduce mitral valve regurgitation;
monitoring the degree of regurgitation; and
adjusting the prosthesis in response to the monitoring step. - View Dependent Claims (20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37)
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Specification