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


Patching residual leaks following a MitraClip procedure

EuroIntervention 2019;15:e482-e483. DOI: 10.4244/EIJV15I6A87

1. Center of Advanced Cardiac and Vascular Interventions (CACVI), Tarzana, CA, and David Geffen School of Medicine at UCLA, Los Angeles, CA, USA; 2. Stanford Health Care, and Stanford University, Stanford, CA, USA

Transcatheter mitral valve repair by leaflet approximation using the MitraClip® (Abbott Vascular, Santa Clara, CA, USA) is an established treatment of selected patients with either primary or secondary mitral regurgitation (MR). Although effective in the majority of cases, there are instances of residual or recurrent MR due to gaps between clips, residual pathology on the side of the clip or, rarely, due to leaflet perforation. These situations may not be amenable to treatment with an additional clip. The presence of a clip-induced tissue bridge makes treatment with a transcatheter valve replacement challenging. Surgical repair or replacement, though possible, ...

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