1662.1 – The reduction of mitral regurgitation through tissue approximation using transvenous/transeptal techniques

New MBS item.

A catheter-based technique for the delivery of a permanent implant to the mitral valve via transeptal access. The implant clasps the anterior and posterior leaflets around a spacer, thus creating a double orifice and reducing mitral regurgitation (MR). The Implant System consists of the Steerable Catheter (outermost layer), the Implant Catheter (innermost layer), and the implant. The Implant System percutaneously delivers the implant to the valve via a femoral vein access using a transvenous, transeptal approach. The implant is deployed and secured to the leaflets of the valve, acting as a filler in the regurgitant orifice. The primary components of the Implant are the spacer, paddles, and clasps made from Nitinol. This Application refers to the proposed medical service as transcatheter mitral valve repair.

Type: Therapeutic

MR (also known as mitral insufficiency), is a condition in which incompetency of the mitral valve causes abnormal backflow of blood from the left ventricle to the left atrium during the systolic phase of the cardiac cycle. There are two types of MR: degenerative and functional. Degenerative mitral regurgitation, also known as primary MR, refers to regurgitation resulting from the structural abnormality of the mitral valve leaflets and/or valve apparatus. In contrast, functional mitral regurgitation, also known as secondary MR, occurs when the valve and/or valve apparatus is structurally normal, but dysfunction, distortion, or dilation of the left atrial or ventricular chambers results in tethering of the leaflets and/or mitral annular dilation. MR is associated with an increased risk for heart failure and death

• MSAC consultation: Closed Friday 7 October 2022

• PASC meeting: Bypassing PASC
• ESC meeting: 6 to 7 October 2022
• MSAC meeting: 24 to 25 November 2022