Case Report: The hybrid cable technique in transcatheter mitral valve implantation with Myval THV—Technical insights from three high-risk cases

This report presents the first dedicated case series of TMVI using a cable-assisted hybrid rail strategy with the Myval THV. The technique enabled precise and stable valve deployment in anatomically complex settings while minimizing myocardial trauma. Early outcomes suggest that it is a feasible, safe, and reproducible option for patients at high surgical risk or with contraindications to conventional TMVI routes. These preliminary findings support further investigation in broader clinical cohorts.