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Updated: Mar 2, 2026

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
Published on: October 16, 2021
Dynamic transcatheter mitral valve repair: a new concept to treat functional mitral regurgitation using an adjustable
Miriam Silaschi1, Niki Nicou, Mehdi Eskandari
1Department of Cardiothoracic Surgery, King's College Hospital, London, United Kingdom.
Abstract:
We report the first-in-man implantation of the Mitra-Spacer. The device was implanted transapically. FMR was reduced to moderate. At two months, while in NYHA Class II, LVEF had improved, but FMR increased and 2 mL was added, reducing FMR to mild. Despite anticoagulation, thrombi developed around the device and the valve was replaced at eight months. The Mitra-Spacer successfully bridged this patient to surgery after LVEF had recovered.
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