Interventions for valvular disease and heart failure - Mini-focus on transcatheter mitral valve replacement

Electrosurgical laceration and stabilisation of three clip devices (ELASTA-Clip) to enable transcatheter mitral valve implantation

EuroIntervention 2023;19:744-745. DOI: 10.4244/EIJ-D-23-00596

Jonathan Curio
Jonathan Curio1, MD; Elmar W. Kuhn2, MD; Maria Isabel Körber1, MD; Stephan Baldus1, MD; Jaffar M Khan3,4, PhD, BM, BCh; Matti Adam1, MD
1. Department of Cardiology, Heart Center Cologne, Faculty of Medicine and University Hospital, University of Cologne, Cologne, Germany; 2. Department of Heart Surgery, Heart Center Cologne, Faculty of Medicine and University Hospital, University of Cologne, Cologne, Germany; 3. Section of Interventional Cardiology, MedStar Washington Hospital Center, Washington, D.C., USA; 4. Department of Interventional Cardiology, St. Francis Hospital and Heart Center, Roslyn, NY, USA
Mitral transcatheter edge-to-edge repair (M-TEER) has been established as a treatment approach in symptomatic severe mitral regurgitation (MR) patients. However, even after successful M-TEER, some patients develop recurrent MR over time. Electrosurgical Laceration and Stabilization of Clip devices (ELASTA-Clip) is a novel technique for cutting a mitral tissue bridge, enabling subsequent transcatheter mitral valve implantation (TMVI)1. Very few ELASTA-Clip cases have been reported, and to date, this technique has only been applied in patients with one, or a maximum of two, M-TEER devices.

A 67-year-old female presented with highly symptomatic, recurrent severe MR 2.5 years after successful MitraClip M-TEER with ...

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