Key result
A two-snare technique was successfully used to stabilize and retrieve a MitraClip following a single leaflet device attachment, avoiding the need for surgical cutdown and repair.
Why the study?
MitraClip use and associated complications are expected to rise with expanding indications, prompting interest in techniques to manage complications such as single leaflet device attachment without surgical cutdown.
Case Report (n=1)
A two-snare technique can be used to successfully retrieve a detached MitraClip from the left atrium, avoiding the need for open surgical repair.
May facilitate percutaneous retrieval of embolized MitraClip; leaves open questions of safety, reproducibility, and generalizability.
MitraClip is used for reduction of mitral insufficiency in patients who are not good surgical candidates, but with expanding indications, the use of MitraClip and the number of complications will increase. Here is presented a case of a single leaflet device attachment that worsened the patient's mitral insufficiency, as well as the technique for stabilizing the valve followed by retrieval of the device. A special focus is placed on removing the using a two-snare technique to avoid the need for a surgical cutdown and repair.
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Stripe et al. (2019) conducted a case report in Mitral insufficiency with single leaflet device attachment complication (n=1). Two-snare technique for MitraClip retrieval was evaluated on Retrieval of the device avoiding surgical cutdown and repair. A two-snare technique was successfully used to stabilize and retrieve a MitraClip following a single leaflet device attachment, avoiding the need for surgical cutdown and repair.
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