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Repeated MitraClip procedure in patients with recurrent MR after a successful first procedure: Limitations and

Jonathan Curio1, Markus Reinthaler1,2, Mario Kasner1

  • 1Department of Cardiology, Campus Benjamin Franklin, Charité Berlin, Berlin, Germany.

Journal of Interventional Cardiology
|December 2, 2017
PubMed
Abstract

Insights

A repeated MitraClip (ReClip) procedure can be effective for treating recurrent severe mitral regurgitation (MR) in select patients. Careful consideration of the risk-benefit balance is crucial when evaluating this option.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Medical Devices

Background:

  • The MitraClip device offers a treatment for severe mitral regurgitation (MR) in high-risk surgical patients.
  • Recurrent severe MR can occur despite initial successful MitraClip repair.

Purpose of the Study:

  • To assess the outcomes and limitations of repeated MitraClip (ReClip) procedures for severe recurrent MR.

Main Methods:

  • Retrospective analysis of patients who underwent a ReClip procedure.
  • Evaluation of baseline data and procedural outcomes to identify limitations.

Main Results:

  • 15 of 234 patients underwent ReClip for recurrent MR.
  • 11 patients achieved MR reduction without significant mitral stenosis.
  • Successful ReClip led to decreased pulmonary artery pressures.

Conclusions:

  • ReClip is a feasible option for recurrent MR.
  • Careful risk-benefit assessment is necessary compared to alternatives.
Keywords:
MitraClipmitral valve regurgitationpercutaneous edge-to-edge mitral valve repairrecurrent mitral valve regurgitation

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