Kilic Teoman, Coskun Senol, Mirzamidinov Didar, Yilmaz Irem, Yavuz Sadan, Sahin Tayfun
Structural Heart Interventions Unit, Department of Cardiology, Kocaeli University School of Medicine, Kocaeli 41380, Turkey.
Faculty of Health Sciences, Kocaeli Health and Technology University, Kocaeli 41275, Turkey.
J Clin Med. 2024 Nov 14;13(22):6857. doi: 10.3390/jcm13226857.
The Myval is a balloon-expandable transcatheter heart valve (THV) developed by Meril Life Sciences Pvt. Ltd. (Vapi, Gujarat, India) that has an innovative operator-friendly design that aids in improving deliverability and features precise deployment. Various clinical studies demonstrate its effectiveness and safety, making it a promising choice in valvular interventions. Myval has been successfully utilized as a transcatheter aortic valve implantation (TAVI) device in cases with conduction disturbances, bicuspid aortic valve anatomy, non-calcified aortic regurgitation, dysfunctional stenosed right ventricular outflow tract (RVOT) conduits, pulmonary valve replacement, mitral valve replacement, and valve-in-valve and valve-in-ring implantation procedures. Myval's diverse sizes are also of key importance in complex cases of large annuli and complex anatomy. Further long-term studies are needed to consolidate these results. Its introduction signifies a significant advancement in cardiology, aiming to enhance patient outcomes and quality of life. In the present review, we provide an update on new-generation Myval THV series and review the available clinical data published to date with an emphasis on diverse use in specific clinical scenarios.
Myval是由梅里尔生命科学私人有限公司(位于印度古吉拉特邦瓦皮)研发的一种球囊扩张式经导管心脏瓣膜(THV),它具有创新的、便于操作的设计,有助于提高输送性,并具备精确部署功能。多项临床研究证明了其有效性和安全性,使其成为瓣膜介入治疗中一个有前景的选择。Myval已成功用作经导管主动脉瓣植入术(TAVI)装置,用于治疗伴有传导障碍、二叶式主动脉瓣解剖结构、非钙化性主动脉反流、功能失调的狭窄右心室流出道(RVOT)管道、肺动脉瓣置换、二尖瓣置换以及瓣中瓣和瓣中环植入手术等病例。在大瓣环和复杂解剖结构的复杂病例中,Myval的多种尺寸也至关重要。需要进一步的长期研究来巩固这些结果。它的推出标志着心脏病学领域的重大进展,旨在改善患者预后和生活质量。在本综述中,我们提供了新一代Myval THV系列的最新情况,并回顾了迄今为止已发表的可用临床数据,重点关注其在特定临床场景中的多样化应用。