Related Experiment Video

Updated: Feb 18, 2026

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
08:12

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels

Published on: May 26, 2023

2.5K

Vascular complications after percutaneous mitral valve repair and venous access closure using suture or closure

Birgit Steppich1, Felix Stegmüller1, Philipp Moritz Rumpf

  • 1Deutsches Herzzentrum der Technischen Universität München, München, Germany.

Journal of Interventional Cardiology
|November 18, 2017
PubMed

Insights

For patients undergoing percutaneous mitral valve repair, both suture and closure devices are safe and effective for access-site closure. Neither method showed a significant advantage in reducing vascular or bleeding complications.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Vascular Surgery

Background:

  • Percutaneous mitral valve repair (MitraClip) is performed in high-risk patients.
  • Large access sheaths (24 Fr) necessitate effective closure techniques.
  • The impact of closure strategies on complications is not well-established.

Purpose of the Study:

  • To compare the safety and efficacy of suture versus closure devices for access-site closure after MitraClip.
  • To evaluate rates of vascular and bleeding complications associated with each closure method.

Main Methods:

  • Retrospective analysis of 277 high-risk patients undergoing MitraClip between 2009-2015.
  • Access-site closure was achieved using Z-suture (n=150) or a closure device (n=127).
  • Complications were assessed using Valve Academic Research Consortium (VARC-2) criteria, including vascular events and bleeding.

Main Results:

  • No significant difference in VARC-2 major or minor access-site complications between suture and closure device groups (2.7% vs 3.1%, P=0.81).
  • Bleeding complication rates were comparable (4.0% vs 4.0%, P=0.81).
  • Unplanned endovascular interventions were similar (2.0% vs 3.1%).

Conclusions:

  • Both Z-suture and closure devices are feasible and safe for access-site closure post-MitraClip.
  • No significant benefit of one closure strategy over the other was observed regarding VARC-2 complications.
Abstract

Keywords:
mitral valve regurgitationvascular access

More Related Videos

A Training and Testing System for Performing Vascular Reconstruction In Vitro09:52

A Training and Testing System for Performing Vascular Reconstruction In Vitro

Published on: October 26, 2019

8.5K
Occlusion of the Great and Small Saphenous Vein Using Copolymeric Glue Based on N-Butyl Cyanoacrylate and Methacryloxy Sulfolane08:05

Occlusion of the Great and Small Saphenous Vein Using Copolymeric Glue Based on N-Butyl Cyanoacrylate and Methacryloxy Sulfolane

Published on: December 9, 2022

5.1K

Related Concept Videos

Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
326
Mitral Stenosis III: Medical Management01:26

Mitral Stenosis III: Medical Management

Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
322
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
430
Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies01:20

Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies

The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
362
Venous Thrombosis III: Interprofessional Care01:29

Venous Thrombosis III: Interprofessional Care

Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
388