June 1, 2016EuroIntervention
Transapical mitral valve implantation after unclipping of a MitraClip: a glimpse into the future and treatment considerations in mitral regurgitation
Key result
Transcatheter mitral valve implantation with the Tiara system was successfully performed three weeks after an initial MitraClip was retrieved during the index procedure due to lack of efficacy.
Why the study?
Does retrieval of an unsuccessful MitraClip allow for subsequent successful transcatheter mitral valve implantation in high-risk patients with significant mitral regurgitation?
Population
1 high-risk patient with significant mitral regurgitation
Design
Case_report
Follow-up
4 days post implant
Authors
Discussion
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Member takes
Implication
Case success of staged Tiara TMVI after MitraClip retrieval; leaves open strategy's safety, efficacy, and role in larger cohorts.
Study Design
Type
Case Report (n=1)
Structured PICO
Does retrieval of an unsuccessful MitraClip allow for subsequent successful transcatheter mitral valve implantation in high-risk patients with significant mitral regurgitation?
P
Population
A single patient with significant mitral regurgitation who underwent attempted MitraClip implantation followed by successful transcatheter mitral valve implantation.
I
Intervention
Transapical mitral valve implantation (TMVI) with the Tiara™ system 3 weeks after removal of an unsuccessful MitraClip
O
Outcome
Echocardiographic valve function, paravalvular leakage, and transvalvular gradientsurrogate
Demonstrates the feasibility of retrieving an unsuccessful MitraClip during the index procedure to allow for subsequent successful transcatheter mitral valve implantation.
Cite This Study
Dvir et al. (2016) conducted a case report in Mitral valve regurgitation (n=1). Transcatheter mitral valve implantation (TMVI) after MitraClip unclipping was evaluated on Successful TMVI and mitral valve function. Transcatheter mitral valve implantation with the Tiara system was successfully performed three weeks after an initial MitraClip was retrieved during the index procedure due to lack of efficacy.