September 1, 2013EuroIntervention
MitraClip® via direct right atrial access in case of a missing inferior vena cava
Key result
MitraClip implantation via direct right atrial access successfully treated severe functional mitral regurgitation and cardiogenic shock in a patient with an absent inferior vena cava.
Why the study?
Does MitraClip implantation via direct right atrial access improve mitral regurgitation and cardiogenic shock in a patient with absent inferior vena cava?
Population
84-year-old male patient with severe functional mitral regurgitation, cardiogenic shock, and absent inferior…
Design
Case_report
Authors
Discussion
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Member takes
Implication
May enable MitraClip via direct right atrial access in absent IVC; hypothesis-generating, should not yet change practice.
Study Design
Type
Case Report (n=1)
Structured PICO
Does MitraClip implantation via direct right atrial access improve mitral regurgitation and cardiogenic shock in a patient with absent inferior vena cava?
P
Population
An 84-year-old male with severe functional mitral regurgitation, cardiogenic shock, and an absent inferior vena cava.
I
Intervention
MitraClip implantation (two clips) via direct right atrial access (direct atrial puncture of the RA)
O
Outcome
Successful treatment of mitral regurgitation and cardiogenic shock
Direct right atrial access provides a feasible alternative route for MitraClip implantation in patients with an absent inferior vena cava.
Cite This Study
Frerker et al. (2013) conducted a case report in Severe functional mitral regurgitation and cardiogenic shock with absent inferior vena cava (n=1). MitraClip via direct right atrial access was evaluated on Treatment of mitral regurgitation and cardiogenic shock. MitraClip implantation via direct right atrial access successfully treated severe functional mitral regurgitation and cardiogenic shock in a patient with an absent inferior vena cava.