Urgent transcatheter edge-to-edge mitral valve repair (TEER) may offer a therapeutic alternative for patients with cardiogenic shock due to severe mitral regurgitation (MR). We reviewed 23 high-risk patients undergoing urgent TEER. Procedural success was 100%, with marked MR reduction and low periprocedural complication rates. Thirty-day and 1-year mortality were 17.4% and 30.4%, respectively. Among survivors with follow-up data, most demonstrated sustained symptomatic improvement. Percutaneous TEER may potentially serve as either definitive therapy or a temporizing intervention for patients in cardiogenic shock with prohibitive surgical risk while preserving the option for subsequent surgical mitral repair after improvement in clinical status.
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Usman Ahmed
Christopher Kim
Aidan Sharkey
A&A Practice
Harvard University
Beth Israel Deaconess Medical Center
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Ahmed et al. (Sun,) studied this question.
www.synapsesocial.com/papers/69b4ba0818185d8a398027d3 — DOI: https://doi.org/10.1213/xaa.0000000000002165