techniques innovantes pour un ttt minimal invasif : le cas de la valve mitrale” · 2016. 11....
TRANSCRIPT
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OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »
Cardiothoracic and Vascular Surgery DepartmentHôpital Louis Pradel
LYON ‐ France
Lyon
“Techniques innovantes pour un ttt minimal invasif :le cas de la valve mitrale”
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OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »
Affiliation/Financial Relationship
List of companies
> Grant/Research Support Boeringher, Saint Jude Medical, Abbott, Medtronic, Edwards
> Consulting Fees/Honoraria Saint Jude Medical, Medtronic,
> Major Stock Shareholder/Equity
> Royalty Income Delacroix‐Chevalier
> Ownership/Founder
> Intellectual Property Rights Landanger
> Other Financial Benefit Sorin, Thoratec, Astra Zeneca, Servier
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OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »
“Techniques innovantes pour un tttminimal invasif :
- le cas de la valve mitrale”
![Page 4: Techniques innovantes pour un ttt minimal invasif : le cas de la valve mitrale” · 2016. 11. 9. · OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on «chircardio‐lyon.org»](https://reader033.vdocuments.us/reader033/viewer/2022060803/60879ad1a5a2a46ca426b904/html5/thumbnails/4.jpg)
OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »
Sternotomy
Experience
Proced
ure
SternotomyLong shafted instruments
Right ThoracotomyFemoral cannulation
External clamp
Right mini ThoracotomyVideo assisted
Femoral cannulationExternal clamp
Right mini ThoracotomyVideo assisted
Femoral cannulationBalloon Occlusion
A step by step “learning curve”
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OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »
Video Assisted Mitral Valve Surgery> 1500 Patients 14 to 92 y
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OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »
Video Assisted Mitral Valve Surgery> 1500 Patients 32 to 146 Kg
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OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »
No limit in Size
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OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »
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OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »
![Page 10: Techniques innovantes pour un ttt minimal invasif : le cas de la valve mitrale” · 2016. 11. 9. · OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on «chircardio‐lyon.org»](https://reader033.vdocuments.us/reader033/viewer/2022060803/60879ad1a5a2a46ca426b904/html5/thumbnails/10.jpg)
OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »
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OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »
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OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »
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OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »
After > 1 500 Pts Cheap, safe and reproducible
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OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »
Right Mini Thoracotomy Byzantine controversy
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OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »
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OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »
3895 Surgeries / 17surgeons (< 20 cases)
Circulation. 2013;128:483–491
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OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »
Circulation. 2013;128:483–491Circulation. 2013;128:483–491
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OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »
Heart 2010;96:1964e1967.
Circulation. 2013;128:483–491
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OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »
“Techniques innovantes pour un tttminimal invasif :
- le cas de la valve mitrale”
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OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »
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OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »
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OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »
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OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »
Reoperation at 1 and 4 years
5.5%
24,8%
2%
20%
MV Repair
Clip
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OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »
After Everest : Cohorts & Registries ?
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OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »
Reshape 800 ptsCoapt 500 ptsMitra.fr 288 pts
Partner II SURTAVI2000 Pts 2500 Pts
200 000 TAVI
Partner AB 1057 ptsCorevalve US 747 ptsChoice 241 ptsNotion 280 pts
Hiride294 pts
Everest 279 pts
25 000 Clips
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OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »
Bill GROSS
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OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »
Transcatheter techniques : From Mitraclip to prostheses
0
100
200
300
400
500
600
700
800
900sept.‐0
8
déc.‐08
mars‐09
juin‐09
sept.‐0
9
déc.‐09
mars‐10
juin‐10
sept.‐1
0
déc.‐10
mars‐11
juin‐11
sept.‐1
1
déc.‐11
mars‐12
juin‐12
sept.‐1
2
déc.‐12
mars‐13
juin‐13
sept.‐1
3
déc.‐13
mars‐14
juin‐14
sept.‐1
4
déc.‐14
mars‐15
juin‐15
sept.‐1
5
déc.‐15
mars‐16
juin‐16
sept.‐1
6
déc.‐ 16
EMEAEMEA 2013 2014 2015 2016 '14 / '13 '15 / '14 '16 / '15Implants 4,241 5,843 7,005 8,376 38% 20% 20%
Open accounts 234 303 360 390 29% 19% 8%
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OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »
Transcatheter techniques : From repair to prostheses
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OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »
Transapical Off Pump MV Repair
2009 : 1er patient
2013 : CE mark
2014 : 100 Pts
2015 : 300 Pts
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OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »
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OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »
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OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »
Consistent QOQ Growth in casesCurrently selling in 10 markets
0
10
20
30
40
50
60
3Q14 4Q14 1Q15 2Q15 3Q15
265 patients Worldwide
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OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »
INDIRECTE Annuloplasty
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OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »OBADIA Jean‐François SNITEM 2016 PARIS Download this presentation on « chircardio‐lyon.org »
MONARC(EdwardsLifesciencesLLC)
Two‐anchordesignwithchronicreshaping(6weeks)byaforeshorteningbridge
EVOLUTIONtrial(72pts82%success)
CARILLON(CardiacDimensionsInc)
AcutereshapingdeviceactinginP2P3,repositionable,retrievable
AMADEUStrial(113pts58%success)
PTMA(Viacor Inc)
Tri‐lumencatheter,reshapable,possibilityofmultiplelongtermadjustment
PTOLEMY(31pts29%success)
INDIRECTE Annuloplasty
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Valtech Cardio – CARDIOBANDFirst in man in 2013
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Which is surgical ? Percutaneous ?
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Percutaneous Mitral Plasty techniques
SurgicalMV Repair
+
=
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Percutaneous Transcatheter Mitral Valve Replacement
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Vue en échographie 3D de la prothèse (face auriculaire) avant l’intervention
1: Anneau de la prothèse
2: Eversion complète d’une cuspexpliquant la fuite importante
1
2
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Guidage échographique de l’implantation de la prothèse
Prothèse mitrale Prothèse mitrale
Guide
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Vue en échographie 3D de la prothèse mitrale (face auriculaire) en fin d’intervention
Prothèse fermée Prothèse ouverte
Le contrôle en échographie 3D en fin d’intervention montre un bon
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Innovation Evaluation ?
1) Mitraclip : All pts Sec. MR Prim. MR
Percutaneous 2) Neochord : Prim. MR P2 A2 /P2 with excess TMit. V Repair
3) A l l t I l t d i dditi t !!!
PHRC 2012
PHRC 2015
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Lyon
Créteil, Le Plessis‐Robinson, Massy, Bichat
Lille
Marseille (La Timone, Saint Joseph)
Montpellier CHU et Clinique Millénaire)
Strasbourg
ordeaux
Nancy
lermont‐Ferrand
Besançon
Nantes
ennes
oulouse