ISSN 2305-3127 (Print)   
ISSN 2664-3790 (Online)

 

Surgical and interventional management of mitral valve regurgitation: a position statement from the European Society of Cardiology Working Groups on Cardiovascular Surgery and Valvular Heart Disease

M. De Bonis, N. Al-Attar, M. Antunes, M. Borger, F. Casselman, V. Falk, T. Folliguet, B. Iung, P. Lancellotti,
S. Lentini, F. Maisano, D. Messika-Zeitoun, C. Muneretto, P. Pibarot, L. Pierard, P. Punjabi, R. Rosenhek,
P. Suwalski, A. Vahanian, O. Wendler, B. Prendergast

References

1. Acker MA, Parides MK, Perrault LP, et al. Mitral-valve repair versus replacement for severe ischemic mitral regurgitation. New Engl J Med. 2014;370:23-32.
2. Akins CW, Miller DC, Turina MI, et al. Councils of the American Association for Thoracic Surgery; Society of Thoracic Surgeons; European Assoication for Cardio-Thoracic Surgery; Ad Hoc Liaison Committee for Standardizing Definitions of Prosthetic Heart Valve Morbidity. Guidelines for reporting mortality and morbidity after cardiac valve interventions. J Thorac Cardiovasc Surg. 2008;135:732-738.
3. Alozie A, Westphal B, Kische S, et al. Surgical revision after percutaneous mitral valve repair by edge-to-edge device: when the strategy fails in the highest risk surgical population. Eur J Cardiothorac Surg. 2014;46:55-60.
4. Anyanwu AC, Bridgewater B, Adams DH. The lottery of mitral valve repair surgery. Heart. 2010;96:1964-1967.
5. Baldus S, Schillinger W, Franzen O, et al. MitraClip therapy in daily clinical practice: initial results from the German transcatheter mitral valve interventions (TRAMI) registry. Eur J Heart Fail. 2012;14:1050-1055.
6. Bolling SF, Deeb GM, Brunsting LA, Bach DS. Early outcome of mitral valve reconstruction in patients with end-stage cardiomyopathy. J Thorac Cardiovasc Surg. 1995;4:676-683.
7. Borger MA, Alam A, Murphy PM, David TE. Ischemic mitral regurgitation: repair, replace or revisit? Ann Thorac Surg. 2006;81:1153-1161.
8. Borger MA, Murphy PM, Alam A, et al. Initial results of the chordal-cutting operation for ischemic mitral regurgitation. J Thorac Cardiovasc Surg. 2007;133:1483-1492.
9. Braunberger E, Deloche A, Berrebi A, et al. Very long-term results (more than 20 years) of valve repair with carpentier’s techniques in nonrheumatic mitral valve insufficiency. Circulation. 2001;104 (12):I8-11.
10. Castillo JG, Anyanwu AC, Fuster V, Adams D.H. A near 100 % repair rate for mitral valve prolapse is achievable in a reference center: implications for future guidelines. J Thorac Cardiovasc Surg. 2012;144:308-312.
11. Cheung A, Webb J, Verheye S, et al. Shortterm results of transapical transcatheter mitral valve implantation for mitral regurgitation. J Am Coll Cardiol. 2014;64:1814-1819.
12. Chiam PT, Ruiz CE. Percutaneous transcatheter mitral valve repair: a classification of the technology. JACC Cardiovasc. Interv. 2011;4:1-13.
13. Ciarka A, Braun J, Delgado V, et al. Predictors of mitral regurgitation recurrence in patients with heart failure undergoing mitral valve annuloplasty. Am J Cardiol. 2010;106:395-401.
14. David TE, Armstrong S, McCrindle BW, Manlhiot C. Late outcomes of mitral valve repair for mitral regurgitation due to degenerative disease. Circulation. 2013;127:1485-1492.
15. De Bonis M, Lapenna E, Maisano F, et al. Long-term results (≤ 18 years) of the edge-to-edge mitral valve repair without annuloplasty in degenerative mitral regurgitation: implications for the percutaneous approach. Circulation. 2014;130 (11 Suppl. 1):S19-S24.
16. De Bonis M, Lorusso R, Lapenna E, et al. Similar long-term results of mitral valve repair for anterior compared with posterior leaflet prolapse. J Thorac Cardiovasc Surg. 2006;131:364-368.
17. Di Bardino DJ, El Bardissi AW, McClure RS, et al. Four decades of experience with mitral valve repair: analysis of differential indications, technical evolution, and long-term outcome. J Thorac Cardiovasc Surg. 2010;139:76-83.
18. Feldman T, Foster E, Glower DD, et al. Percutaneous repair or surgery for mitral regurgitation. New Engl. J. Med. 2011;364:1395-1406.
19. Franzen O, Baldus S, Rudolph V, et al. Acute outcomes of MitraClip therapy for mitral regurgitation in high-surgical-risk patients: emphasis on adverse valve morphology and severe left ventricular dysfunction. Eur Heart J. 2010;31:1373-1381.
20. Frerker C, Schafer U, Schewel D, et al. Percutaneous approaches for mitral valve interventions - a real alternative technique for standard cardiac surgery? Herz. 2009;34:444-450.
21. Geidel S, Schmoeckel M. Impact of failed mitral clipping on subsequent mitral valve operations. Ann Thorac Surg. 2014;97:56-63.
22. Gillinov AM, Blackstone EH, Nowicki ER, et al. Valve repair versus valve replacement for degenerative mitral valve disease. J Thorac Cardiovasc Surg. 2008;135:885-893.
23. Glower DD, Kar S, Trento A, et al. Percutaneous mitral valve repair for mitral regurgitation in high-risk patients: results of the EVEREST II study. J Am Coll Cardiol. 2014;64:172-181.
24. Grasso C, Capodanno D, Scandura S, et al. One- and twelve-month safety and efficacy outcomes of patients undergoing edge-to-edge percutaneous mitral valve repair (from the GRASP Registry). Am J Cardiol. 2013;111:1482-1487.
25. Grayburn PA, Foster E, Sangli C, et al. Relationship between the magnitude of reduction in mitral regurgitation severity and left ventricular and left atrial reverse remodeling after MitraClip therapy. Circulation. 2013;128:1667-1674.
26. Heikkinen J, Biancari F, Satta J, et al. Quality of life after mitral valve repair. J. Heart Valve Dis. 2005;14:722-726.
27. Hvass U, Joudinaud T. The papillary muscle sling for ischemic mitral regurgitation. J Thorac Cardiovasc Surg. 2010;139:418-423.
28. Iung B, Baron G, Butchardt EG, et al. A prospective survey of patients with valvular heart disease in Europe: the EuroHeart survey on valvular heart disease. Eur Heart J. 2003;24:1231-1243.
29. Jouan J, Berrebi A, Chauvaud S, et al. Mitral valve reconstruction in Barlow disease: long-term echographic results and implications for surgical management. J Thorac Cardiovasc Surg. 2012;143 (4 Suppl.):S17-S20.
30. Kappetein AP, Head SJ, Genereux P, et al. Updated standardized endpoint definitions for transcatheter aortic valve implantation: the Valve Academic Research Consortium-2 consensus document. Eur Heart J. 2012;33:2403-2418.
31. Langer F, Kunihara T, Hell K, et al. RING+STRING: successful repair technique for ischemic mitral regurgitation with severe leaflet tethering. Circulation. 2009;120:S85-S91.
32. Lee AP, Acker M, Kubo SH, et al. Mechanisms of recurrent functional mitral regurgitation after mitral valve repair in nonischemic dilated cardiomyopathy: importance of distal anterior leaflet tethering. Circulation. 2009;119:2606-2614.
33. Leon MB, Piazza N, Nikolsky E, et al. Standardized endpoint definitions for transcatheter aortic valve implantation clinical trials: a consensus report from the Valve Academic Research Consortium. Eur Heart J. 2011;32:205-217.
34. Lim DS, Reynolds MR, Feldman T, et al. Improved functional status and quality of life in prohibitive surgical risk patients with degenerative mitral regurgitation after transcatheter mitral valve repair. J Am Coll Cardiol. 2014;64:182-192.
35. Lorusso R, Gelsomino S, Vizzardi E. et al, ISTIMIR Investigators. Mitral valve repair or replacement for ischemic mitral regurgitation? The Italian Study on the Treatment of Ischemic Mitral Regurgitation (ISTIMIR). J Thorac Cardiovasc Surg. 2013;145:128-139.
36. Lubos E, Schluter M, Vettorazzi E, et al. MitraClip therapy in surgical high-risk patients: identification of echocardiographic variables affecting acute procedural outcome. JACC Cardiovasc Interv. 2014;7:394-402.
37. Magne J, Girerd N, Senechal M, et al. Mitral repair versus replacement for ischemic mitral regurgitation: comparison of short-term and long-term survival. Circulation. 2009;120:S104-S111.
38. Maisano F, Franzen O, Baldus S, et al. Percutaneous mitral valve interventions in the real world: early and 1-year results from the ACCESS-EU, a prospective, multicenter, nonrandomized post-approval study of the MitraClip therapy in Europe. J Am Coll Cardiol. 2013;62:1052-1061.
39. Maisano F, Vanermen H, Seeburger J, et al. Direct access transcatheter mitral annuloplasty with a sutureless and adjustable device: preclinical experience. Eur J Cardiothorac Surg. 2012;42:524-529.
40. Mauri L, Foster E, Glower DD, et al. 4-year results of a randomized controlled trial of percutaneous repair versus surgery for mitral regurgitation. J Am Coll Cardiol. 2013;62:317-328.
41. McGee EC, Gillinov AM, Blackstone EH, et al. Recurrent mitral regurgitation after annuloplasty for functional ischemic mitral regurgitation. J Thorac Cardiovasc Surg. 2004. 128:916-924.
42. McMurray JJ, Adamopoulos S, Anker SD, et al. ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure 2012: the Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2012 of the European Society of Cardiology. Developed in collaboration with the Heart Failure Association (HFA) of the ESC. Eur Heart J. 2012;33:1787-1847.
43. Mihaljevic T, Lam B.K, Rajeswaran J, et al. Impact of mitral valve annuloplasty combined with revascularization in patients with functional ischemic mitral regurgitation. J Am Coll Cardiol. 2007;49:2191-2201.
44. Minha S, Torguson R, Waksman R. Overview of the 2013 Food and Drug Administration Circulatory System Devices Panel meeting on the MitraClip Delivery System. Circulation. 2013;128:864-868.
45. Montant P, Chenot F, Robert A, et al. Long-term survival in asymptomatic patients with severe degenerative mitral regurgitation: a propensity scorebased comparison between an early surgical strategy and a conservative treatment approach. J Thorac Cardiovasc Surg. 2009;138:1339-1348.
46. Murashita T, Okada Y, Fujiwara H, et al. Mechanism of and risk factors for reoperation after mitral valve repair for degenerative mitral regurgitation. Circ J. 2013;77:2050-2055.
47. Nkomo VT, Gardin JM, Skelton TN. Burden of valvular heart disease: a populationbased study. Lancet. 2006;368:1005-1011.
48. Puls M, Tichelbacker T, Bleckmann A, et al. Failure of acute procedural success predicts adverse outcome after percutaneous edge-to-edge mitral valve repair with MitraClip. EuroIntervention. 2014;9:1407-1417.
49. Reichenspurner H, Schillinger W, Baldus S, et al. Clinical outcomes through 12 months in patients with degenerative mitral regurgitation treated with the MitraClip(R) device in the ACCESS-EUrope Phase I trial. Eur J Cardiothorac Surg. 2013; 44:280-e288.
50. Rosenhek R, Iung B, Tornos P. et al, ESC Working Group on Valvular Heart Disease Position Paper: assessing the risk of interventions in patients with valvular heart disease. Eur Heart J. 2012;33:822-828.
51. Rucinskas K, Janusauskas V, Zakarkaite D, et al. Off-pump transapical implantation of artificial chordae to correct mitral regurgitation: early results of a single-center experience. J Thorac Cardiovasc Surg. 2014;147:95-99.
52. Rudolph V, Knap M, Franzen O, et al. Echocardiographic and clinical outcomes of MitraClip therapy in patients not amenable to surgery. J Am Coll Cardiol. 2011;58:2190-2195.
53. Salvador L, Mirone S, Bianchini R, et al. A 20-year experience with mitral valve repair with artificia chordae in 608 patients. J Thorac Cardiovasc Surg. 2008;135:1280-1287.
54. Schillinger W, Hunlich M, Baldus S, et al. Acute outcomes after MitraClip therapy in highly aged patients: results from the German TRAnscatheter Mitral valve Interventions (TRAMI) Registry. EuroIntervention. 2013;9:84-90.
55. Spoor MT, Geltz A, Bolling SF. Flexible versus nonflexible mitral valve rings for congestive heart failure. Circulation. 2006;114(I):I67-I71.
56. Taramasso M, Maisano F, Latib A, et al. Clinical outcomes of MitraClip for the treatment of functional mitral regurgitation. EuroIntervention. 2014;10:746-752.
57. Vahanian A, Alfieri O, Andreotti F. et al, Joint Task Force on the Management of Valvular Heart Disease of the European Society of Cardiology (ESC), European Association for Cardio-Thoracic Surgery (EACTS). Guidelines on the management of valvular heart disease (version 2012). Eur Heart J. 2012;33:2451-2496.
58. Van den Branden BJ, Swaans MJ, Post MC, et al. Percutaneous edge-to-edge mitral valve repair in high-surgical-risk patients: do we hit the target?. JACC Cardiovasc Interv. 2012;5:105-111.
59. Vassileva CM, Mishkel G, McNeely C, et al. Long-term survival of patients undergoing mitral valve repair and replacement: a longitudinal analysis of Medicare fee-for-service beneficiaries. Circulation. 2013;127:1870-1876.
60. Whitlow PL, Feldman T, Pedersen WR, et al. EVEREST II Investigators. Acute and 12-month results with catheter-based mitral valve leaflet repair: the EVEREST II (Endovascular Valve Edge-to-Edge Repair) High Risk Study. J Am Coll Cardiol. 2012;59:130-139.
61. Wu AH, Aaronson KD, Bolling SF, et al. Impact of mitral valve annuloplasty on mortality risk in patients with mitral regurgitation and left ventricular systolic dysfunction. J Am Coll Cardiol. 2005;45:381-387.
62. Yun KL, Miller DC. Mitral valve repair versus replacement. Cardiol Clin. 1991;9:315-327.

 

 

[PDF] [Contents]  

  

Crossref Member Badge

© "Cardiac Surgery and Interventional Cardiology" Ukrainian scientific and practical peer-reviewed journal, 2023

https://journal.paluniv.edu.ps/ https://demo.ojs.ro/ https://revistasacad.uasd.edu.do/ https://studia.reviste.ubbcluj.ro/ https://revistas.unimagdalena.edu.co/ https://lingkungan.ft.unand.ac.id/lama/demos/ https://lingkungan.ft.unand.ac.id/lama/thailand/ https://pgpaud.fip.unp.ac.id/files/2025/ https://jornalmediasia.com/ https://imagerar.com/ https://simcardtips.com/ https://udayhospital.com/ https://doctormueblecr.com/ https://sevvey.com/
6.921MBMemory Usage220msRequest Duration
Joomla! Version4.4.0
PHP Version8.2.0
Identityguest
Response200
Templatecassiopeia
Database
Server
mysql
Version
8.0.29
Collation
cp1251_general_ci
Conn Collation
utf8mb4_0900_ai_ci
$_GET
array:3 [ "catid" => "146" "id" => "480" "view" => "article" ]
$_POST
[]
$_SESSION
array:1 [ "joomla" => "***redacted***" ]
$_COOKIE
array:1 [ "4da9bb9736211fb1cf4b2d4d6a12cd1e" => "en-GB" ]
$_SERVER
array:63 [ "PHP_FCGI_CHILDREN" => "0" "PATH" => "/etc:/bin:/sbin:/usr/bin:/usr/sbin" "PHP_FCGI...
session
array:3 [ "counter" => 1 "timer" => array:3 [ "start" => 1745992178 "last" => 1745992178...
registry
array:3 [ "data" => [] "initialized" => false "separator" => "." ]
user
array:18 [ "id" => 0 "name" => null "username" => null "email" => null "password" => "***r...
  • afterLoad (731.64KB) (37.79ms)
  • afterInitialise (1.84MB) (88.87ms)
  • afterRoute (683.17KB) (5.42ms)
  • beforeRenderComponent com_content (209.64KB) (13.06ms)
  • Before Access::preloadComponents (all components) (173.56KB) (7.48ms)
  • After Access::preloadComponents (all components) (94.15KB) (1.33ms)
  • Before Access::preloadPermissions (com_content) (744B) (12μs)
  • After Access::preloadPermissions (com_content) (1.03MB) (2.57ms)
  • Before Access::getAssetRules (id:657 name:com_content.article.480) (34.65KB) (41μs)
  • After Access::getAssetRules (id:657 name:com_content.article.480) (7.44KB) (475μs)
  • afterRenderComponent com_content (456.58KB) (27.2ms)
  • Before Access::getAssetRules (id:8 name:com_content) (307.89KB) (3.75ms)
  • After Access::getAssetRules (id:8 name:com_content) (6.02KB) (28μs)
  • afterDispatch (51.95KB) (2.37ms)
  • beforeRenderRawModule mod_custom (Crossref ) (55.34KB) (4.65ms)
  • afterRenderRawModule mod_custom (Crossref ) (69.95KB) (1.13ms)
  • beforeRenderRawModule mod_menu (Topmenu) (3.01KB) (37μs)
  • afterRenderRawModule mod_menu (Topmenu) (396.7KB) (6.2ms)
  • beforeRenderRawModule mod_languages (Language) (992B) (33μs)
  • afterRenderRawModule mod_languages (Language) (12.85KB) (3.67ms)
  • beforeRenderRawModule mod_breadcrumbs (Breadcrumbs) (720B) (24μs)
  • afterRenderRawModule mod_breadcrumbs (Breadcrumbs) (74.47KB) (1.24ms)
  • beforeRenderRawModule mod_menu (Нижнє меню) (2.41KB) (38μs)
  • afterRenderRawModule mod_menu (Нижнє меню) (10KB) (509μs)
  • beforeRenderRawModule mod_custom (Copir) (2.3KB) (457μs)
  • afterRenderRawModule mod_custom (Copir) (944B) (44μs)
  • beforeRenderModule mod_custom (Copir) (704B) (5μs)
  • afterRenderModule mod_custom (Copir) (3.65KB) (189μs)
  • beforeRenderModule mod_menu (Нижнє меню) (1.75KB) (35μs)
  • afterRenderModule mod_menu (Нижнє меню) (2.91KB) (113μs)
  • beforeRenderModule mod_custom (Crossref ) (1.81KB) (30μs)
  • afterRenderModule mod_custom (Crossref ) (2.93KB) (26μs)
  • beforeRenderModule mod_breadcrumbs (Breadcrumbs) (632B) (66μs)
  • afterRenderModule mod_breadcrumbs (Breadcrumbs) (4.2KB) (22μs)
  • beforeRenderModule mod_languages (Language) (48B) (21μs)
  • afterRenderModule mod_languages (Language) (3.88KB) (26μs)
  • beforeRenderModule mod_menu (Topmenu) (1.2KB) (23μs)
  • afterRenderModule mod_menu (Topmenu) (6.62KB) (25μs)
  • beforeRenderRawModule mod_custom (Лого засновників) (2.05KB) (20μs)
  • afterRenderRawModule mod_custom (Лого засновників) (1.31KB) (247μs)
  • beforeRenderModule mod_custom (Лого засновників) (736B) (4μs)
  • afterRenderModule mod_custom (Лого засновників) (4.46KB) (28μs)
  • afterRender (171.38KB) (10.39ms)
  • 1 x afterInitialise (1.84MB) (40.37%)
    88.87ms
    1 x afterLoad (731.64KB) (17.17%)
    37.79ms
    1 x afterRenderComponent com_content (456.58KB) (12.35%)
    27.20ms
    1 x beforeRenderComponent com_content (209.64KB) (5.93%)
    13.06ms
    1 x afterRender (171.38KB) (4.72%)
    10.39ms
    1 x Before Access::preloadComponents (all components) (173.56KB) (3.4%)
    7.48ms
    1 x afterRenderRawModule mod_menu (Topmenu) (396.7KB) (2.82%)
    6.20ms
    1 x afterRoute (683.17KB) (2.46%)
    5.42ms
    1 x beforeRenderRawModule mod_custom (Crossref ) (55.34KB) (2.11%)
    4.65ms
    1 x Before Access::getAssetRules (id:8 name:com_content) (307.89KB) (1.7%)
    3.75ms
    1 x afterRenderRawModule mod_languages (Language) (12.85KB) (1.67%)
    3.67ms
    1 x After Access::preloadPermissions (com_content) (1.03MB) (1.17%)
    2.57ms
    1 x afterDispatch (51.95KB) (1.08%)
    2.37ms
    1 x After Access::preloadComponents (all components) (94.15KB) (0.6%)
    1.33ms
    1 x afterRenderRawModule mod_breadcrumbs (Breadcrumbs) (74.47KB) (0.56%)
    1.24ms
    1 x afterRenderRawModule mod_custom (Crossref ) (69.95KB) (0.52%)
    1.13ms
    1 x afterRenderRawModule mod_menu (Нижнє меню) (10KB) (0.23%)
    509μs
    1 x After Access::getAssetRules (id:657 name:com_content.article.480) (7.44KB) (0.22%)
    475μs
    1 x beforeRenderRawModule mod_custom (Copir) (2.3KB) (0.21%)
    457μs
    1 x afterRenderRawModule mod_custom (Лого засновників) (1.31KB) (0.11%)
    247μs
    1 x afterRenderModule mod_custom (Copir) (3.65KB) (0.09%)
    189μs
    1 x afterRenderModule mod_menu (Нижнє меню) (2.91KB) (0.05%)
    113μs
    1 x beforeRenderModule mod_breadcrumbs (Breadcrumbs) (632B) (0.03%)
    66μs
    1 x afterRenderRawModule mod_custom (Copir) (944B) (0.02%)
    44μs
    1 x Before Access::getAssetRules (id:657 name:com_content.article.480) (34.65KB) (0.02%)
    41μs
    1 x beforeRenderRawModule mod_menu (Нижнє меню) (2.41KB) (0.02%)
    38μs
    1 x beforeRenderRawModule mod_menu (Topmenu) (3.01KB) (0.02%)
    37μs
    1 x beforeRenderModule mod_menu (Нижнє меню) (1.75KB) (0.02%)
    35μs
    1 x beforeRenderRawModule mod_languages (Language) (992B) (0.01%)
    33μs
    1 x beforeRenderModule mod_custom (Crossref ) (1.81KB) (0.01%)
    30μs
    1 x After Access::getAssetRules (id:8 name:com_content) (6.02KB) (0.01%)
    28μs
    1 x afterRenderModule mod_custom (Лого засновників) (4.46KB) (0.01%)
    28μs
    1 x afterRenderModule mod_custom (Crossref ) (2.93KB) (0.01%)
    26μs
    1 x afterRenderModule mod_languages (Language) (3.88KB) (0.01%)
    26μs
    1 x afterRenderModule mod_menu (Topmenu) (6.62KB) (0.01%)
    25μs
    1 x beforeRenderRawModule mod_breadcrumbs (Breadcrumbs) (720B) (0.01%)
    24μs
    1 x beforeRenderModule mod_menu (Topmenu) (1.2KB) (0.01%)
    23μs
    1 x afterRenderModule mod_breadcrumbs (Breadcrumbs) (4.2KB) (0.01%)
    22μs
    1 x beforeRenderModule mod_languages (Language) (48B) (0.01%)
    21μs
    1 x beforeRenderRawModule mod_custom (Лого засновників) (2.05KB) (0.01%)
    20μs
    1 x Before Access::preloadPermissions (com_content) (744B) (0.01%)
    12μs
    1 x beforeRenderModule mod_custom (Copir) (704B) (0%)
    5μs
    1 x beforeRenderModule mod_custom (Лого засновників) (736B) (0%)
    4μs
32 statements were executed, 4 of which were duplicates, 28 unique15.3ms475.34KB
  • SELECT @@SESSION.sql_mode;117μs968B/libraries/vendor/joomla/database/src/Mysqli/MysqliDriver.php:334Copy
  • SELECT `data` FROM `l8uf4_session` WHERE `session_id` = ?177μs1008BParams/libraries/vendor/joomla/session/src/Handler/DatabaseHandler.php:261Copy
  • SELECT `session_id` FROM `l8uf4_session` WHERE `session_id` = :session_id LIMIT 1184μs1.3KBParams/libraries/src/Session/MetadataManager.php:187Copy
  • INSERT INTO `l8uf4_session` (`session_id`,`guest`,`time`,`userid`,`username`,`client_id`) VALUES (:session_id, :guest, :time, :user_id, :username, :client_id)558μs944BParams/libraries/src/Session/MetadataManager.php:260Copy
  • SELECT `extension_id` AS `id`,`element` AS `option`,`params`,`enabled` FROM `l8uf4_extensions` WHERE `type` = 'component' AND `state` = 0 AND `enabled` = 1356μs1.61KB/libraries/src/Component/ComponentHelper.php:399Copy
  • SELECT `id`,`rules` FROM `l8uf4_viewlevels`142μs656B/libraries/src/Access/Access.php:955Copy
  • SELECT `b`.`id` FROM `l8uf4_usergroups` AS `a` LEFT JOIN `l8uf4_usergroups` AS `b` ON `b`.`lft` <= `a`.`lft` AND `b`.`rgt` >= `a`.`rgt` WHERE `a`.`id` = :guest256μs1.31KBParams/libraries/src/Access/Access.php:868Copy
  • SELECT `folder` AS `type`,`element` AS `name`,`params` AS `params`,`extension_id` AS `id` FROM `l8uf4_extensions` WHERE `enabled` = 1 AND `type` = 'plugin' AND `state` IN (0,1) AND `access` IN (:preparedArray1) ORDER BY `ordering`507μs2.96KBParams/libraries/src/Plugin/PluginHelper.php:294Copy
  • SELECT * FROM `l8uf4_languages` WHERE `published` = 1 ORDER BY `ordering` ASC320μs2.23KB/libraries/src/Language/LanguageHelper.php:142Copy
  • SELECT `element`,`name`,`client_id`,`extension_id` FROM `l8uf4_extensions` WHERE `type` = 'language' AND `state` = 0 AND `enabled` = 1290μs752B/libraries/src/Language/LanguageHelper.php:213Copy
  • SELECT `m`.`id`,`m`.`menutype`,`m`.`title`,`m`.`alias`,`m`.`note`,`m`.`link`,`m`.`type`,`m`.`level`,`m`.`language`,`m`.`browserNav`,`m`.`access`,`m`.`params`,`m`.`home`,`m`.`img`,`m`.`template_style_id`,`m`.`component_id`,`m`.`parent_id`,`m`.`path` AS `route`,`e`.`element` AS `component` FROM `l8uf4_menu` AS `m` LEFT JOIN `l8uf4_extensions` AS `e` ON `m`.`component_id` = `e`.`extension_id` WHERE ( (`m`.`published` = 1 AND `m`.`parent_id` > 0 AND `m`.`client_id` = 0) AND (`m`.`publish_up` IS NULL OR `m`.`publish_up` <= :currentDate1)) AND (`m`.`publish_down` IS NULL OR `m`.`publish_down` >= :currentDate2) ORDER BY `m`.`lft`1.11ms165.3KBParams/libraries/src/Menu/SiteMenu.php:166Copy
  • SELECT `id`,`home`,`template`,`s`.`params`,`inheritable`,`parent` FROM `l8uf4_template_styles` AS `s` LEFT JOIN `l8uf4_extensions` AS `e` ON `e`.`element` = `s`.`template` AND `e`.`type` = 'template' AND `e`.`client_id` = `s`.`client_id` WHERE `s`.`client_id` = 0 AND `e`.`enabled` = 1259μs832B/administrator/components/com_templates/src/Model/StyleModel.php:773Copy
  • SELECT `id`,`name`,`rules`,`parent_id` FROM `l8uf4_assets` WHERE `name` IN (:preparedArray1,:preparedArray2,:preparedArray3,:preparedArray4,:preparedArray5,:preparedArray6,:preparedArray7,:preparedArray8,:preparedArray9,:preparedArray10,:preparedArray11,:preparedArray12,:preparedArray13,:preparedArray14,:preparedArray15,:preparedArray16,:preparedArray17,:preparedArray18,:preparedArray19,:preparedArray20,:preparedArray21,:preparedArray22,:preparedArray23,:preparedArray24,:preparedArray25,:preparedArray26,:preparedArray27,:preparedArray28,:preparedArray29,:preparedArray30,:preparedArray31,:preparedArray32,:preparedArray33,:preparedArray34,:preparedArray35,:preparedArray36)452μs7.19KBParams/libraries/src/Access/Access.php:357Copy
  • SELECT `id`,`name`,`rules`,`parent_id` FROM `l8uf4_assets` WHERE `name` LIKE :asset OR `name` = :extension OR `parent_id` = 01.36ms217.48KBParams/libraries/src/Access/Access.php:301Copy
  • SHOW FULL COLUMNS FROM `l8uf4_content`1.69ms1.77KB/libraries/vendor/joomla/database/src/Mysqli/MysqliDriver.php:625Copy
  • UPDATE `l8uf4_content` SET `hits` = (`hits` + 1) WHERE `id` = '480'700μs48B/libraries/src/Table/Table.php:1325Copy
  • SELECT `a`.`id`,`a`.`asset_id`,`a`.`title`,`a`.`alias`,`a`.`introtext`,`a`.`fulltext`,`a`.`state`,`a`.`catid`,`a`.`created`,`a`.`created_by`,`a`.`created_by_alias`,`a`.`modified`,`a`.`modified_by`,`a`.`checked_out`,`a`.`checked_out_time`,`a`.`publish_up`,`a`.`publish_down`,`a`.`images`,`a`.`urls`,`a`.`attribs`,`a`.`version`,`a`.`ordering`,`a`.`metakey`,`a`.`metadesc`,`a`.`access`,`a`.`hits`,`a`.`metadata`,`a`.`featured`,`a`.`language`,`fp`.`featured_up`,`fp`.`featured_down`,`c`.`title` AS `category_title`,`c`.`alias` AS `category_alias`,`c`.`access` AS `category_access`,`c`.`language` AS `category_language`,`fp`.`ordering`,`u`.`name` AS `author`,`parent`.`title` AS `parent_title`,`parent`.`id` AS `parent_id`,`parent`.`path` AS `parent_route`,`parent`.`alias` AS `parent_alias`,`parent`.`language` AS `parent_language`,ROUND(`v`.`rating_sum` / `v`.`rating_count`, 1) AS `rating`,`v`.`rating_count` AS `rating_count` FROM `l8uf4_content` AS `a` INNER JOIN `l8uf4_categories` AS `c` ON `c`.`id` = `a`.`catid` LEFT JOIN `l8uf4_content_frontpage` AS `fp` ON `fp`.`content_id` = `a`.`id` LEFT JOIN `l8uf4_users` AS `u` ON `u`.`id` = `a`.`created_by` LEFT JOIN `l8uf4_categories` AS `parent` ON `parent`.`id` = `c`.`parent_id` LEFT JOIN `l8uf4_content_rating` AS `v` ON `a`.`id` = `v`.`content_id` WHERE `a`.`id` = :pk AND `c`.`published` > 0 AND `a`.`language` IN (:preparedArray1,:preparedArray2)532μs39.33KBParams/components/com_content/src/Model/ArticleModel.php:215Copy
  • SELECT `c`.`id`,`c`.`asset_id`,`c`.`access`,`c`.`alias`,`c`.`checked_out`,`c`.`checked_out_time`,`c`.`created_time`,`c`.`created_user_id`,`c`.`description`,`c`.`extension`,`c`.`hits`,`c`.`language`,`c`.`level`,`c`.`lft`,`c`.`metadata`,`c`.`metadesc`,`c`.`metakey`,`c`.`modified_time`,`c`.`note`,`c`.`params`,`c`.`parent_id`,`c`.`path`,`c`.`published`,`c`.`rgt`,`c`.`title`,`c`.`modified_user_id`,`c`.`version`, CASE WHEN CHAR_LENGTH(`c`.`alias`) != 0 THEN CONCAT_WS(':', `c`.`id`, `c`.`alias`) ELSE `c`.`id` END as `slug` FROM `l8uf4_categories` AS `s` INNER JOIN `l8uf4_categories` AS `c` ON (`s`.`lft` < `c`.`lft` AND `c`.`lft` < `s`.`rgt` AND `c`.`language` IN (:preparedArray2,:preparedArray3)) OR (`c`.`lft` <= `s`.`lft` AND `s`.`rgt` <= `c`.`rgt`) WHERE (`c`.`extension` = :extension OR `c`.`extension` = 'system') AND `c`.`access` IN (:preparedArray1) AND `c`.`published` = 1 AND `s`.`id` = :id ORDER BY `c`.`lft`884μs3.95KBParams/libraries/src/Categories/Categories.php:375Copy
  • SELECT `m`.`tag_id`,`t`.* FROM `l8uf4_contentitem_tag_map` AS `m` INNER JOIN `l8uf4_tags` AS `t` ON `m`.`tag_id` = `t`.`id` WHERE `m`.`type_alias` = :contentType AND `m`.`content_item_id` = :id AND `t`.`published` = 1 AND `t`.`access` IN (:preparedArray1)335μs3.95KBParams/libraries/src/Helper/TagsHelper.php:388Copy
  • SELECT `a`.`id`,`a`.`title`,`a`.`catid`,`a`.`language`, CASE WHEN CHAR_LENGTH(`a`.`alias`) != 0 THEN CONCAT_WS(':', `a`.`id`, `a`.`alias`) ELSE a.id END AS `slug`, CASE WHEN CHAR_LENGTH(`cc`.`alias`) != 0 THEN CONCAT_WS(':', `cc`.`id`, `cc`.`alias`) ELSE cc.id END AS `catslug` FROM `l8uf4_content` AS `a` LEFT JOIN `l8uf4_categories` AS `cc` ON `cc`.`id` = `a`.`catid` WHERE `a`.`catid` = :catid AND `a`.`state` = :state AND `a`.`access` IN (:preparedArray1) AND (`publish_up` IS NULL OR `publish_up` <= :nowDate1) AND (`publish_down` IS NULL OR `publish_down` >= :nowDate2) AND `a`.`language` IN (:preparedArray2,:preparedArray3) ORDER BY `a`.`created`453μs1.88KBParams/plugins/content/pagenavigation/src/Extension/PageNavigation.php:188Copy
  • SELECT `c`.`id`,`c`.`asset_id`,`c`.`access`,`c`.`alias`,`c`.`checked_out`,`c`.`checked_out_time`,`c`.`created_time`,`c`.`created_user_id`,`c`.`description`,`c`.`extension`,`c`.`hits`,`c`.`language`,`c`.`level`,`c`.`lft`,`c`.`metadata`,`c`.`metadesc`,`c`.`metakey`,`c`.`modified_time`,`c`.`note`,`c`.`params`,`c`.`parent_id`,`c`.`path`,`c`.`published`,`c`.`rgt`,`c`.`title`,`c`.`modified_user_id`,`c`.`version`, CASE WHEN CHAR_LENGTH(`c`.`alias`) != 0 THEN CONCAT_WS(':', `c`.`id`, `c`.`alias`) ELSE `c`.`id` END as `slug` FROM `l8uf4_categories` AS `s` INNER JOIN `l8uf4_categories` AS `c` ON (`s`.`lft` < `c`.`lft` AND `c`.`lft` < `s`.`rgt` AND `c`.`language` IN (:preparedArray2,:preparedArray3)) OR (`c`.`lft` <= `s`.`lft` AND `s`.`rgt` <= `c`.`rgt`) WHERE (`c`.`extension` = :extension OR `c`.`extension` = 'system') AND `c`.`access` IN (:preparedArray1) AND `c`.`published` = 1 AND `s`.`id` = :id ORDER BY `c`.`lft`860μs3.95KBParams/libraries/src/Categories/Categories.php:375Copy
  • SELECT `language`,`id` FROM `l8uf4_menu` WHERE `home` = '1' AND `published` = 1 AND `client_id` = 0279μs624B/libraries/src/Language/Multilanguage.php:123Copy
  • SELECT `alias` FROM `l8uf4_content` WHERE `id` = :id133μs1.31KBParams/components/com_content/src/Service/Router.php:168Copy
  • SELECT `alias` FROM `l8uf4_content` WHERE `id` = :id133μs1.31KBParams/components/com_content/src/Service/Router.php:168Copy
  • SELECT `c2`.`language`,CONCAT_WS(':', `c2`.`id`, `c2`.`alias`) AS `id`,CONCAT_WS(':', `ca`.`id`, `ca`.`alias`) AS `catid` FROM `l8uf4_content` AS `c` INNER JOIN `l8uf4_associations` AS `a` ON `a`.`id` = `c`.`id` AND `a`.`context` = :context INNER JOIN `l8uf4_associations` AS `a2` ON `a`.`key` = `a2`.`key` INNER JOIN `l8uf4_content` AS `c2` ON `a2`.`id` = `c2`.`id` INNER JOIN `l8uf4_categories` AS `ca` ON `c2`.`catid` = `ca`.`id` AND `ca`.`extension` = :extension2 WHERE `c`.`id` = :id AND c2.access IN (1) AND c2.language != 'en-GB'418μs1.48KBParams/libraries/src/Language/Associations.php:145Copy
  • SELECT `c`.`id`,`c`.`asset_id`,`c`.`access`,`c`.`alias`,`c`.`checked_out`,`c`.`checked_out_time`,`c`.`created_time`,`c`.`created_user_id`,`c`.`description`,`c`.`extension`,`c`.`hits`,`c`.`language`,`c`.`level`,`c`.`lft`,`c`.`metadata`,`c`.`metadesc`,`c`.`metakey`,`c`.`modified_time`,`c`.`note`,`c`.`params`,`c`.`parent_id`,`c`.`path`,`c`.`published`,`c`.`rgt`,`c`.`title`,`c`.`modified_user_id`,`c`.`version`, CASE WHEN CHAR_LENGTH(`c`.`alias`) != 0 THEN CONCAT_WS(':', `c`.`id`, `c`.`alias`) ELSE `c`.`id` END as `slug` FROM `l8uf4_categories` AS `s` INNER JOIN `l8uf4_categories` AS `c` ON (`s`.`lft` < `c`.`lft` AND `c`.`lft` < `s`.`rgt` AND `c`.`language` IN (:preparedArray2,:preparedArray3)) OR (`c`.`lft` <= `s`.`lft` AND `s`.`rgt` <= `c`.`rgt`) WHERE (`c`.`extension` = :extension OR `c`.`extension` = 'system') AND `c`.`access` IN (:preparedArray1) AND `c`.`published` = 1 AND `s`.`id` = :id ORDER BY `c`.`lft`847μs3.95KBParams/libraries/src/Categories/Categories.php:375Copy
  • SELECT `m`.`id`,`m`.`title`,`m`.`module`,`m`.`position`,`m`.`content`,`m`.`showtitle`,`m`.`params`,`mm`.`menuid` FROM `l8uf4_modules` AS `m` LEFT JOIN `l8uf4_modules_menu` AS `mm` ON `mm`.`moduleid` = `m`.`id` LEFT JOIN `l8uf4_extensions` AS `e` ON `e`.`element` = `m`.`module` AND `e`.`client_id` = `m`.`client_id` WHERE ( ( (`m`.`published` = 1 AND `e`.`enabled` = 1 AND `m`.`client_id` = :clientId AND `m`.`access` IN (:preparedArray1)) AND (`m`.`publish_up` IS NULL OR `m`.`publish_up` <= :publishUp)) AND (`m`.`publish_down` IS NULL OR `m`.`publish_down` >= :publishDown)) AND (`mm`.`menuid` = :itemId OR `mm`.`menuid` <= 0) AND `m`.`language` IN (:preparedArray2,:preparedArray3) ORDER BY `m`.`position`,`m`.`ordering`739μs2.22KBParams/libraries/src/Cache/Controller/CallbackController.php:51Copy
  • SELECT `c2`.`language`,`c2`.`id` FROM `l8uf4_menu` AS `c` INNER JOIN `l8uf4_associations` AS `a` ON `a`.`id` = `c`.`id` AND `a`.`context` = :context INNER JOIN `l8uf4_associations` AS `a2` ON `a`.`key` = `a2`.`key` INNER JOIN `l8uf4_menu` AS `c2` ON `a2`.`id` = `c2`.`id` WHERE `c`.`id` = :id275μs1.41KBParams/libraries/src/Language/Associations.php:145Copy
  • SELECT SUM(CASE WHEN `a`.`next_execution` <= :now THEN 1 ELSE 0 END) AS due_count,SUM(CASE WHEN `a`.`locked` IS NULL THEN 0 ELSE 1 END) AS locked_count FROM `l8uf4_scheduler_tasks` AS `a` WHERE `a`.`state` = 1203μs1.37KBParams/administrator/components/com_scheduler/src/Model/TasksModel.php:466Copy
  • SELECT m.item_id as id, m.item_id, m.description as metadescription, m.description, m.title as metatitle, m.title FROM l8uf4_osmeta_metadata m WHERE m.item_id='480' AND m.item_type='1'189μs816B/administrator/components/com_osmeta/library/Free/Container/AbstractContainer.php:140Copy
  • SELECT `session_id` FROM `l8uf4_session` WHERE `session_id` = ?201μs1KBParams/libraries/vendor/joomla/session/src/Handler/DatabaseHandler.php:291Copy
  • UPDATE `l8uf4_session` SET `data` = ? , `time` = ? WHERE `session_id` = ?334μs592BParams/libraries/vendor/joomla/session/src/Handler/DatabaseHandler.php:318Copy