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Updated: Apr 22, 2026

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
Published on: October 16, 2021
Simultaneous double clipping delivery guide strategy for treatment of severe coaptation failure in functional mitral
Ulrich Schaefer1, Christian Frerker1, Felix Kreidel1
1Department of Cardiology, Asklepios Clinics Sankt Georg, Hamburg, Germany.
Abstract:
We report on a novel treatment strategy using two clip delivery systems (CDS) simultaneously, after double transseptal puncture, for treatment of severe functional mitral regurgitation. Both CDS were used to titrate for an optimal result in a patient with a severe coaptation gap of both mitral leaflets. The patient was successfully treated with two MitraClips. Thus, even a contraindication for MitraClip can be overcome with a more complex double guide intervention.
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