Key result
Percutaneous transcatheter mitral valve repair with the MitraClip system was successfully performed under conscious sedation in a patient with severe mitral regurgitation.
Why the study?
Can percutaneous transcatheter mitral valve repair with the MitraClip system be safely performed under conscious sedation in patients with severe mitral regurgitation?
Case Report (n=1)
Can percutaneous transcatheter mitral valve repair with the MitraClip system be safely performed under conscious sedation in patients with severe mitral regurgitation?
MitraClip implantation can be successfully performed under conscious sedation, offering an alternative for selected patients with contraindications to general anesthesia.
Answers are grounded in this paper and cite their sources.
Supports feasibility of conscious sedation for MitraClip in select patients; hypothesis-generating and requires prospective confirmation.
We report the first human case of percutaneous transcatheter mitral valve repair with the MitraClip system under conscious sedation in a patient with severe mitral regurgitation. The procedure was performed using the standard MitraClip technique, in the catheterization laboratory, with transesophageal echocardiographic and fluoroscopic guidance. Transesophageal echocardiography is the primary imaging modality of the MitraClip procedure, which usually necessitates general anesthesia to guarantee complete immobilization of the patient allowing precise delivery of the MitraClip device. We successfully performed the procedure under deep sedation, using remifentanil and local anesthesia in a patient who had serious contraindications to general anesthesia. The success of this procedure suggests that percutaneous transcatheter mitral repair with the MitraClip system can be safely realized using conscious sedation. Conscious sedation may represent a convenient alternative approach for selected patients who undergo this innovative procedure.
No takes yet. Share an insight, caveat, or question.
Ussia et al. (2009) conducted a case report in severe mitral regurgitation (n=1). MitraClip system under conscious sedation was evaluated on Procedural success. Percutaneous transcatheter mitral valve repair with the MitraClip system was successfully performed under conscious sedation in a patient with severe mitral regurgitation.
Synapse has enriched 10 related papers. Consider them for comparative context: