Leaflet modification is a necessary armamentarium of the structural interventionalist and will remain an area of active investment in the future. While leaflet splitting is proven, there are limitations in certain extreme cases. Though intra-leaflet techniques are emerging and potentially have more broad applicability, there remain safety concerns with these techniques. The proposed systematic algorithms on aortic and mitral leaflet modification procedures can serve as a guide to structural operators when selecting the appropriate approach based on anatomy, pathology, and procedural goals.
EditorsEditor-in-ChiefHarlan M. Krumholz, MD, SM, FACC CME EditorRagavendra R. Baliga, MDAuthorJohn D’Angelo MD
Important DatesDate of Release: June 8, 2026Term of Approval/Date of CME/MOC Expiration: June 7, 2027