Key result
Routine ancillary invasive hemodynamic assessment during MitraClip implantation provides excellent accuracy and should be considered to optimize procedural results.
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Routine ancillary invasive hemodynamic assessment during MitraClip implantation is advocated to overcome the limitations of transesophageal echocardiography and optimize procedural results.
Transesophageal echocardiography (TEE) assessment after MitraClip implantation is limited by unequal orifices and jets, eccentric regurgitation, and the acute change of the annulus geometry. Periprocedural real-time invasive hemodynamic assessment of the mitral valve function requires experience in hemodynamic monitoring interpretation. However, it provides excellent accuracy as it does not take into account the changes of the mitral apparatus geometry and jet direction after MitraClip placement. While we seek to expand indications of Mitraclip to other patient subgroups, we should consider routine ancillary invasive hemodynamic assessment, in order to optimize our understanding, procedural results.
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Çilingiroğlu et al. (2016) conducted an editorial in Mitral regurgitation undergoing MitraClip implantation. Invasive hemodynamic assessment was evaluated. Routine ancillary invasive hemodynamic assessment during MitraClip implantation provides excellent accuracy and should be considered to optimize procedural results.
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