Key result
MitraClip implantation was successfully performed through a chronically occluded inferior vena cava filter following angioplasty.
Why the study?
Can MitraClip be successfully implanted through a chronically occluded IVC filter after angioplasty in a patient with severe mitral regurgitation?
Case Report (n=1)
Can MitraClip be successfully implanted through a chronically occluded IVC filter after angioplasty in a patient with severe mitral regurgitation?
Demonstrates the feasibility of percutaneous MitraClip implantation via the femoral vein even in the presence of a chronically occluded IVC filter, following angioplasty.
May allow femoral access for MitraClip despite occluded IVC filter; leaves open safety and generalizability beyond this case.
The MitraClip® has increasing use for severe, high surgical risk mitral regurgitation (MR). The MitraClip® is implanted percutaneously across the interatrial septum. Given the large diameter of the device delivery system, the femoral vein is the best option for central venous access. This is the first reported case of successful MitraClip® implantation through a chronically occluded IVC filter.
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Barbin et al. (2015) conducted a case report in Severe, high surgical risk mitral regurgitation with chronically occluded IVC filter (n=1). MitraClip implantation after angioplasty was evaluated on Successful MitraClip implantation. MitraClip implantation was successfully performed through a chronically occluded inferior vena cava filter following angioplasty.
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