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June 4, 2024European Journal of Heart FailureOpen Access

Mitral TEER linked to a ~68% decrease in annualized HF hospitalizations versus pre-treatment.

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Why the study?

Does mitral transcatheter edge-to-edge repair (M-TEER) reduce annualized heart failure hospitalizations in patients with secondary and primary mitral regurgitation?

Population

Patients with SMR and PMR

Comparison

M-TEER with third-generation MitraClip (NTR/XTR) compared to the year before treatment

Design

Prospective multicentre international single-arm post-market observational study registry

Key result

Mitral transcatheter edge-to-edge repair was associated with a significant 68% decrease in annualized heart failure hospitalizations compared to the year before treatment.

Authors

PSPhilipp von SteinCIChristos Iliadis

Discussion

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Member takes

Overview

May support M-TEER to lower HF hospitalizations in MR; leaves open need for randomized confirmation in primary and secondary disease.

Structured PICO

Does mitral transcatheter edge-to-edge repair (M-TEER) reduce annualized heart failure hospitalizations in patients with secondary and primary mitral regurgitation?

P
Population
Patients with secondary mitral regurgitation (SMR) and primary mitral regurgitation (PMR)
I
Intervention
Mitral transcatheter edge-to-edge repair (M-TEER) using the third-generation MitraClip (NTR/XTR)
C
Comparator
The year before treatment (historical control)
O
Outcome
Annualized heart failure hospitalizations (HFH)hard clinical

Main Result

Effect estimate: 68% decrease

M-TEER significantly reduces annualized heart failure hospitalizations in patients with mitral regurgitation, though residual risk remains high in those with specific baseline characteristics such as LVEF <40% and NYHA class III/IV.

Cite This Study

Stein et al. (2024) conducted an editorial in Mitral regurgitation and heart failure. Mitral transcatheter edge-to-edge repair (M-TEER) vs. Year before treatment was evaluated on Annualized heart failure hospitalizations (68% decrease). Mitral transcatheter edge-to-edge repair was associated with a significant 68% decrease in annualized heart failure hospitalizations compared to the year before treatment.

synapsesocial.com/papers/6a0ecd9daa1655e5fb22d1cdhttps://doi.org/10.1002/ejhf.3327
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