Key result
IVC filter removal enables successful TEER, improving severe MR and preventing HF rehospitalization for 2 years.
Why the study?
Mitral valve TEER requires a femoral vein approach, presenting challenges in patients with an indwelled IVCF.
Case Report (n=1)
No
Demonstrates the feasibility of performing TEER using the MitraClip system in a patient after surgical removal of an indwelled inferior vena cava filter.
May facilitate TEER after IVC filter removal in select cases; hypothesis-generating and requires prospective validation before wider use.
Objective: Mitral valve transcatheter edge-to-edge repair (TEER) is an effective therapeutic alternative to mitral valve surgery for high-risk surgical patients with mitral regurgitation (MR). The TEER route necessitates the use of the femoral vein approach. We present a case report of a patient with atrial functional MR (AFMR) and an indwelled inferior vena cava filter (IVCF) who underwent TEER using the MitraClip system (Abbott Vascular, Santa Clara, CA, USA).
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Higashihara et al. (2024) conducted a case report in Severe atrial functional mitral regurgitation with an indwelled inferior vena cava filter (n=1). Surgical IVCF removal followed by MitraClip therapy was evaluated on Improvement in mitral regurgitation severity and prevention of heart failure rehospitalization. Surgical removal of an inferior vena cava filter enabled successful MitraClip therapy, improving mitral regurgitation from grade 4+ to 1+ and preventing heart failure rehospitalization for 2 years.
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