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MitraClip Removal During Left Ventricular Assist Device Implantation
Kaan Kiralİ1, Tanil Özer, Özge Altaş Yerlikhan
1From the Department of Cardiovascular Surgery, University of Health Sciences, Koşuyolu High Specialty Education and Research Hospital, Istanbul, Turkey.
ASAIO Journal (American Society for Artificial Internal Organs : 1992)
|August 18, 2020
Summary
Mitral regurgitation in heart failure patients can necessitate interventions. This study shows successful outcomes in two patients undergoing combined mitral clip removal and left ventricular assist device implantation.
Area of Science:
- Cardiology
- Cardiovascular Surgery
- Medical Devices
Background:
- Mitral regurgitation (MR) is a significant complication in heart failure (HF) patients, associated with increased hospitalizations and mortality.
- The MitraClip procedure is a common intervention for severe MR in HF, aiming to alleviate symptoms and improve outcomes.
Observation:
- Some patients with MR may require further interventions due to HF progression or complications from the MitraClip, such as detachment or mitral stenosis.
- This case study focuses on two patients who underwent a combined procedure: removal of a previously implanted mitral clip and subsequent left ventricular assist device (LVAD) implantation.
Findings:
- Both patients in this case study experienced clinically successful results following the concomitant mitral clip removal and LVAD implantation.
- The combined approach addressed progressive clinical deterioration and complications arising from the initial MR intervention.
Implications:
- This case study suggests that combined mitral clip removal and LVAD implantation is a viable strategy for select HF patients with complex MR.
- Such combined interventions may offer a solution for managing advanced HF and complications related to MR treatment, potentially improving patient prognosis.
