Key result
A completely dislodged MitraClip was successfully rescued percutaneously using a snare and retrieved via surgical cutdown, preventing systemic embolisation.
Why the study?
Although uncommon, complications such as device embolisation can occur during percutaneous edge-to-edge repair of the mitral valve with the MitraClip system.
Case Report (n=1)
No
Complete periprocedural dislodgement of a MitraClip can be successfully rescued percutaneously using a snare if the gripper line is maintained.
May allow snare-based rescue of dislodged MitraClip; leaves open standardization and safety in larger cohorts.
Percutaneous edge-to-edge repair of the mitral valve with the MitraClip system is a safe and effective treatment option for patients with severe degenerative mitral regurgitation who are at prohibitive surgical risk. However, although uncommon, complications do happen and one of which is device embolisation. We describe a case of complete dislodgement of MitraClip that occurred periprocedurally and how this can be rescued percutaneously using a snare.
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A 2020 study conducted a case report in Severe degenerative mitral regurgitation (n=1). MitraClip system and percutaneous snaring was evaluated on Successful retrieval of embolised device. A completely dislodged MitraClip was successfully rescued percutaneously using a snare and retrieved via surgical cutdown, preventing systemic embolisation.
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