What is the clinical evidence from this study?

Study design: Case Report. Population: Severe mitral valve regurgitation (n=1). Intervention: MitraClip.

What question did this study set out to answer?

To document a rare clinical complication of percutaneous edge-to-edge mitral valve repair involving delayed device migration and coronary occlusion.

November 1, 2016Circulation Cardiovascular InterventionsOpen Access

Late MitraClip Embolization

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Key result

Late embolization of a MitraClip to the right coronary ostium can cause ST-segment-elevation myocardial infarction.

Population

1 patient who underwent percutaneous edge-to-edge mitral valve repair

Design

Case_report

Authors

SCSam ChitsazThe University of Texas Health Science Center at Houston MJMarwan JumeanThe University of Texas Health Science Center at Houston TDTariq DayahThe University of Texas MD Anderson Cancer Center

Discussion

Member takes

Implication

Late MitraClip embolization can cause STEMI; this case report leaves open incidence and surveillance needs.

Key Points

To document a rare clinical complication of percutaneous edge-to-edge mitral valve repair involving delayed device migration and coronary occlusion.
Clinical presentation review and diagnostic evaluation of a patient presenting with acute ischemic symptoms following percutaneous mitral valve intervention.
Identified the first documented case of late MitraClip dislodgement and embolization directly to the right coronary ostium.
The physical obstruction of the coronary vessel resulted in an acute ST-segment-elevation myocardial infarction.

Study Design

Type

Case Report (n=1)

Structured PICO

Population

A single case report of a patient who developed an ST-segment-elevation myocardial infarction due to late embolization of a MitraClip.

Intervention

MitraClip device

This case report highlights a rare but severe complication of MitraClip therapy, specifically late embolization causing STEMI.

Cite This Study

Chitsaz et al. (2016) conducted a case report in Severe mitral valve regurgitation (n=1). MitraClip was evaluated. Late embolization of a MitraClip to the right coronary ostium can cause ST-segment-elevation myocardial infarction.

synapsesocial.com/papers/6a967ba796bab72bf50e28ac https://doi.org/10.1161/circinterventions.116.004271

Topics

STEMI management Mitral valve intervention

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Late MitraClip Embolization

Discussion

Member takes

Implication

Key Points

Study Design

Structured PICO

Cite This Study

Topics

Late MitraClip Embolization

Discussion

Member takes

Implication

Key Points

Study Design

Structured PICO

Cite This Study

Also Consider

Topics

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