The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

INTERVENTIONS FOR VALVULAR DISEASE AND HEART FAILURE

Challenging mitral clefts with MitraClip: the convergent clips strategy

EuroIntervention 2016;12:e1071 published online e-edition October 2016. DOI: 10.4244/EIJV12I8A173

UniversitätsSpital Zürich, Zürich, Switzerland




The posterior leaflet of the mitral valve has two indentations that generally divide the leaflet into three scallops. It is not uncommon that abnormal deep, cleft-like indentations are associated with significant mitral regurgitation (MR). Moreover, the presence of cleft-like indentations is a frequent cause of residual MR after MitraClip® (Abbott Vascular, Santa Clara, CA, USA) implantation, mainly in functional MR. In the presence of advanced tethering, the implantation of one clip in the central position may open a cleft-like indentation.

When a significant MR jet originates from a deep indentation, two convergent clips can be implanted on ...

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