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Evidence to Improve Care

Mitral Valve Clip for Treatment of Mitral Regurgitation

Ontario Health Technology Advisory Committee Recommendations

  • The Ontario Health Technology Advisory Committee recommends that the mitral valve clip procedure be funded in centres of excellence identified by the Cardiac Care Network and that all such centres enroll all patients receiving the mitral valve clip procedure in a registry supported by the Cardiac Care Network.

Read the full OHTAC Recommendation

Chronic mitral regurgitation is a condition where blood flows backwards into the left atrium (one of the four chambers of the heart) as the heart pumps blood to the rest of the body. It occurs when the mitral valve does not function properly. In most patients, mitral regurgitation does not require treatment. However, for some people the condition can cause shortness of breath and lead to progressive damage to the heart. In these patients, surgery is usually the best treatment option.

Health Quality Ontario Reviews the Mitral Valve Clip

For patients who cannot undergo surgery due to high risks, an alternate approach has been proposed. It involves a medical device called a mitral valve clip, which is inserted into a blood vessel near the groin using a catheter. The mitral valve clip slides up through the blood vessel all the way to the heart and helps ensure blood flows in the right direction.

Mitral Valve Clip for Treatment of Mitral Regurgitation: An Evidence-Based Analysis (PDF)
May 2015

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The Ministry of Health and Long-Term Care has accepted this recommendation.

The Ministry of Health and Long-Term Care has provided the following response: The Ministry is providing funding to support the mitral valve clip procedure at select hospitals.

Health Technology Assessment at Health Quality Ontario

As part of our core function to promote health care supported by the best available evidence, we use established scientific methods to analyze the evidence for a wide range of health interventions, including diagnostic tests, medical devices, interventional and surgical procedures, health care programs and models of care. These analyses are informed by input from a range of individuals, including patients and clinical experts. The Ontario Health Technology Advisory Committee — a committee of the Health Quality Ontario board of directors — reviews the evidence and makes recommendations about whether health care interventions should be publicly funded or not. Draft recommendations are posted on the Health Quality Ontario website for feedback. Final recommendations are approved by our board of directors and then shared with the Ministry of Health and Long-Term Care. For more detailed information, visit our Evidence to Improve Care pages.


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