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

Interventions for valvular disease and heart failure

Monitoring pulmonary artery pressure in chronic heart failure patients and evaluating the treatment effect of MitraClip implantation for functional mitral regurgitation

EuroIntervention 2019;15:418-419. DOI: 10.4244/EIJ-D-18-01188

1. Department of Cardiology, Thoraxcenter, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands




Figure 1. Pre- and post-MitraClip daily PAP readings.

In chronic heart failure (HF) patients, functional mitral valve regurgitation (FMR) is a common finding and is associated with worse outcome. The position of the MitraClip™ (Abbott Vascular, Santa Clara, CA, USA) as a therapeutic option is still debated after the publication of the MITRA-FR and COAPT trials, showing conflicting results.

A 51-year-old male, with a history of severely dilated, non-ischaemic cardiomyopathy, severe FMR, actively on the heart transplant (HTx) waiting list, remotely monitored with the CardioMEMS™ sensor (Abbott Vascular), developed persistent elevated pulmonary artery pressures (PAPs) (...

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