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

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 ...