Key result
Novel mitral clipping technique enables two additional clips, reducing severe MR despite extreme atrial dilation.
Why the study?
The mitral clipping device was designed and assessed in intermediate risk populations, contrasting with real-world patients who are often very high risk with challenging cardiac anatomy.
Does a novel mitral clipping technique improve procedural success in a patient with extreme atrial dilation and severe mitral regurgitation?
Case Report (n=1)
Does a novel mitral clipping technique improve procedural success in a patient with extreme atrial dilation and severe mitral regurgitation?
A novel mitral clipping technique using a low/anterior trans-septal puncture and specific sheath manipulation can overcome extreme atrial dilation to successfully treat severe mitral regurgitation.
No takes yet. Share an insight, caveat, or question.
May enable additional clips in extreme atrial dilation; hypothesis-generating and requires prospective validation before wider use.
Tiroch et al. (2013) conducted a case report in Severe mitral regurgitation with extreme atrial dilation (n=1). Novel mitral clipping technique (low/anterior trans-septal puncture and 90° turn of steerable sheath) was evaluated on Successful implantation of additional clips, reduction in mitral regurgitation, and clinical improvement. A novel mitral clipping technique successfully enabled the implantation of two additional clips, reducing severe mitral regurgitation to mild-to-moderate in a patient with extreme atrial dilation.
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