Key result
MitraClip was successfully deployed via the left femoral vein in an 85-year-old woman with mitral regurgitation and an occluded right femoral vein.
Why the study?
Technical limitations make the right femoral vein the standard access for MitraClip placement, but this route is not always suitable.
Case Report (n=1)
No
The left femoral vein approach is a viable alternative for MitraClip insertion when standard right femoral access is precluded.
May allow left femoral MitraClip access when right vein occluded; leaves open safety and efficacy in larger cohorts.
The MitraClip system can be used to control regurgitant blood flow in patients with mitral regurgitation who cannot tolerate open surgery to replace the mitral valve. Technical limitations make the right femoral vein the standard access point for placing the MitraClip. However, this route is not always suitable. We present the case of an 85-year-old woman in whom we successfully used a left-sided approach for inserting a MitraClip because her right femoral vein was occluded. This apparently novel left femoral approach merits consideration as an option for device insertion when right femoral vein access is precluded.
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Edupuganti et al. (2019) conducted a case report in Mitral Regurgitation (n=1). MitraClip insertion via left femoral vein was evaluated on Successful device insertion. MitraClip was successfully deployed via the left femoral vein in an 85-year-old woman with mitral regurgitation and an occluded right femoral vein.
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