Five-Year Follow-Up after Transcatheter Repair of Secondary Mitral Regurgitation

This five-year follow-up of a large randomized controlled clinical trial on outcomes after transcatheter edge-to-edge repair of severe mitral regurgitation, as compared with outcomes after maximal doses of guideline-directed medical therapy alone, suggests superiority of the transcatheter 'Alfieri' (Mitra-clip) repair over BMT.

It will be interesting to juxtapose transcatheter to surgical repair, especially over a longer period. It's worth noting that more than one in ten recipients suffered device-related complications.