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Related Concept Videos

Mitral Valve Prolapse II: Assessment and Management01:22

Mitral Valve Prolapse II: Assessment and Management

IntroductionA range of clinical features characterizes Mitral Valve Prolapse (MVP), but it is important to note that many individuals with MVP are asymptomatic and may remain so throughout their lives. For those who do exhibit symptoms, the following are the key clinical features:Palpitations: This is a common symptom where individuals feel an irregular or rapid heartbeat. Palpitations in MVP are often due to arrhythmias such as premature ventricular contractions or supraventricular tachycardia.
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Mitral stenosis is a heart condition in which the mitral valve, which allows blood to flow from the left atrium to the left ventricle, becomes narrowed or stenotic. This narrowing hinders blood flow and leads to clinical symptoms requiring specific medical evaluations and management strategies. The following overview outlines the clinical symptoms, assessments, diagnostic findings, prevention methods, and treatments for mitral stenosis.Clinical ManifestationsDyspnea (shortness of breath): This...
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Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...

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Related Experiment Video

Updated: May 7, 2026

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
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Published on: October 16, 2021

Peri-interventional echo assessment for the MitraClip procedure.

Nina C Wunderlich1, Robert J Siegel

  • 1University Hospital Mainz, Mainz, Germany.

European Heart Journal. Cardiovascular Imaging
|September 25, 2013
PubMed
Summary

Echocardiography is crucial for the MitraClip procedure, guiding patient selection and device deployment for mitral regurgitation (MR). This review details the essential echocardiographic assessments for successful MitraClip interventions.

Keywords:
2D Echocardiography3D echocardiographyMitraClipMitral regurgitationTransoesophageal echocardiography

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Published on: May 19, 2020

Area of Science:

  • Cardiovascular Medicine
  • Medical Imaging
  • Interventional Cardiology

Background:

  • Over 6500 MitraClip procedures have been performed globally for mitral regurgitation (MR).
  • The MitraClip device is the sole percutaneous option for MR reduction, creating a double mitral valve orifice.
  • Fluoroscopy is insufficient for mitral leaflet assessment, necessitating echocardiographic guidance for procedural success.

Purpose of the Study:

  • To outline the essential echocardiographic assessments for MitraClip procedure eligibility.
  • To detail the intraprocedural echocardiographic guidance for device deployment.
  • To highlight the role of echocardiography in identifying and managing procedural complications.

Main Methods:

  • Review of peri-interventional echocardiographic assessments for MitraClip procedures.
  • Detailed analysis of 2D and 3D echocardiography for evaluating MR severity and mitral valve morphology.
  • Description of echocardiographic guidance during all intraprocedural steps.

Main Results:

  • Echocardiography is indispensable for determining patient eligibility for MitraClip.
  • Comprehensive 2D and 3D echocardiography enables accurate assessment of mitral valve anatomy and MR.
  • Echocardiography effectively guides MitraClip device deployment and helps detect complications.

Conclusions:

  • Peri-interventional echocardiography is fundamental to the success of the MitraClip procedure.
  • Accurate echocardiographic assessment ensures optimal patient selection and device placement.
  • Echocardiography plays a vital role throughout the MitraClip procedure, from pre-procedural evaluation to post-procedural monitoring.