MitraClip Implantation Guided by Volumetric Intracardiac Echocardiography: Technique and Feasibility in Patients Intolerant to Transesophageal Echocardiography.


Journal

Cardiovascular revascularization medicine : including molecular interventions
ISSN: 1878-0938
Titre abrégé: Cardiovasc Revasc Med
Pays: United States
ID NLM: 101238551

Informations de publication

Date de publication:
07 2021
Historique:
received: 12 01 2021
accepted: 14 01 2021
pubmed: 6 2 2021
medline: 25 2 2023
entrez: 5 2 2021
Statut: ppublish

Résumé

Transesophageal echo (TEE) guidance is essential for successful MitraClip implantation. In patients intolerant to TEE, options are limited. Three patients, with contraindications to TEE, underwent MitraClip implantation using volumetric intracardiac echo (vICE). All patients had severe symptomatic degenerative mitral regurgitation (MR) and had successful implantation of at least one clip with reduction of MR to ≤2+ maintained at 30d follow-up. All patients had improvement in functional status without any adverse clinical, clip, or vICE related events. We discuss in detail the technical considerations and limitations to performing the MitraClip procedure with vICE guidance.

Identifiants

pubmed: 33541810
pii: S1553-8389(21)00048-8
doi: 10.1016/j.carrev.2021.01.019
pii:
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

85-88

Informations de copyright

Copyright © 2021 Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of competing interest Gagan D. Singh, Jason H Rogers and Thomas W.R. Smith are consultants for Abbott Vascular. Jason H Rogers and Thomas W.R. Smith are consultants for Boston Scientific and Gore Medical. Gagan D. Singh is a consultant for Siemens Healthcare. Edris Aman is a consultant for SilaraMedTech and MVRx. The rest of the authors have no relevant disclosures to declare.

Auteurs

Jonathan Yap (J)

Division of Cardiovascular Medicine, University of California Davis Medical Center, Sacramento, CA, USA; Department of Cardiology, National Heart Centre Singapore, Singapore; Duke-NUS Medical School, Singapore.

Jason H Rogers (JH)

Division of Cardiovascular Medicine, University of California Davis Medical Center, Sacramento, CA, USA.

Edris Aman (E)

Division of Cardiovascular Medicine, University of California Davis Medical Center, Sacramento, CA, USA.

Thomas W R Smith (TWR)

Division of Cardiovascular Medicine, University of California Davis Medical Center, Sacramento, CA, USA.

Gagan D Singh (GD)

Division of Cardiovascular Medicine, University of California Davis Medical Center, Sacramento, CA, USA. Electronic address: drsingh@ucdavis.edu.

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