Why the study?
Does the MitraClip procedure improve hemodynamics or provide clinical benefit in patients with progressing left ventricular dysfunction prior to LVAD implantation?
Does the MitraClip procedure improve hemodynamics or provide clinical benefit in patients with progressing left ventricular dysfunction prior to LVAD implantation?
The MitraClip procedure provided no clinical or hemodynamic benefit in this cohort of patients with progressing left ventricular dysfunction who ultimately required LVAD implantation.
No benefit with MitraClip pre-LVAD; hypothesis-generating and should not yet change practice.
Our presented patient cohort presented little hemodynamic improvement after the MitraClip procedure. There was no clinical benefit for the patients after MitraClip procedure, progressing left ventricular dysfunction could not be prevented and resulted in subsequent LVAD implantation.
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Dogan et al. (2018) studied this question.
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