Dissemin is shutting down on January 1st, 2025

Published in

Radcliffe Medical Media, US Cardiology Review, 2022

DOI: 10.15420/usc.2022.11

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Advanced Steering Maneuvers for Special Situations in Mitral Valve Transcatheter Edge-to-edge Repair

Journal article published in 2022 by Vikram Sharma ORCID, Arpit Sothwal ORCID, Jai Parekh ORCID, Sidakpal Panaich ORCID
This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Preprint: archiving forbidden
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Postprint: archiving forbidden
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Abstract

The use of transcatheter percutaneous edge-to-edge mitral valve repair with the MitraClip (Abbott) for the treatment of mitral regurgitation has rapidly expanded since it received Food and Drug Administration approval. Currently, patients with more complex mitral valve anatomies are undergoing this procedure with progressively improving clinical outcomes. This review focuses on the advanced steering maneuvers needed for the technical success of the MitraClip procedure and discusses several scenarios where such advanced steering maneuvers may be needed. These include an anterior transseptal puncture, low or high transseptal puncture with unfavorable transseptal height to mitral valve, large gap height, patients with mitral regurgitation due to dehiscence of a prior mitral valve annuloplasty ring, placing multiple/adjacent MitraClips, or redo edge-to-edge mitral valve repair. Knowledge and mastery of such advanced steering maneuvering techniques can allow operators to complete the procedure successfully with low rate of complications even in difficult scenarios.