Peri-interventional echo assessment for the MitraClip procedure

Worldwide, there have been more than 6500 MitraClip procedures performed to treat either functional or degenerative mitral regurgitation (MR). The MitraClip procedure is the only available percutaneous device available to reduce MR by creating a double mitral valve (MV) orifice and decreasing MV ann...

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Bibliographic Details
Published in:European heart journal cardiovascular imaging 2013-10, Vol.14 (10), p.935-949
Main Authors: Wunderlich, Nina C, Siegel, Robert J
Format: Article
Language:English
Subjects:
Adult
Aged
Cardiac Surgical Procedures - instrumentation
Cardiac Surgical Procedures - methods
Echocardiography, Three-Dimensional
Echocardiography, Transesophageal
Female
Follow-Up Studies
Humans
Intraoperative Care - methods
Male
Middle Aged
Minimally Invasive Surgical Procedures - adverse effects
Minimally Invasive Surgical Procedures - methods
Mitral Valve Insufficiency - diagnostic imaging
Mitral Valve Insufficiency - surgery
Postoperative Care
Preoperative Care - methods
Risk Assessment
Severity of Illness Index
Surgical Instruments
Treatment Outcome
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Summary:Worldwide, there have been more than 6500 MitraClip procedures performed to treat either functional or degenerative mitral regurgitation (MR). The MitraClip procedure is the only available percutaneous device available to reduce MR by creating a double mitral valve (MV) orifice and decreasing MV annular diameter. As the mitral leaflets cannot be assessed by fluoroscopy, procedural success is dependent upon echocardiographic guidance. In this review, we describe the assessment necessary to determine eligibility for the MitraClip procedure. This includes accurate assessment of MR and detailed analysis of MV morphology by 2D and 3D echocardiography. In addition, each of the intraprocedural steps involved in the deployment of this device and the guidance of these steps by 2D and 3D echo are described in detail, along with the use of echo to detect procedural complications. Thus the focus of this review is on the peri-interventional echocardiographic assessment before, during, and after the MitraClip procedure.
ISSN:2047-2404
2047-2412
DOI:10.1093/ehjci/jet060