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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.



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