MitraClip procedure assisted with 3-dimensional electro anatomical mapping system.

Area of Science:

• Cardiovascular Interventions
• Medical Imaging Technology
• Structural Heart Disease

Background:

• Percutaneous mitral annuloplasty, specifically the MitraClip procedure, is a key treatment for functional mitral regurgitation.
• Transesophageal echocardiography (TEE) is the standard imaging modality for guiding MitraClip, but patient intolerance or esophageal conditions can limit its use.

Observation:

• This case report details the use of a 3-dimensional electro anatomical mapping (3D-EAM) system as an alternative imaging guidance tool.
• The procedure was performed in a patient intolerant to TEE, highlighting the need for alternative imaging solutions.

Findings:

• The 3D-EAM system successfully facilitated the MitraClip procedure, enabling accurate device deployment.
• This demonstrates the feasibility and potential utility of 3D-EAM in complex percutaneous mitral valve repair scenarios.

Implications:

• 3D-EAM offers a promising alternative imaging strategy for MitraClip procedures in patients unsuitable for TEE.
• This approach may expand the applicability of percutaneous mitral valve repair, improving outcomes for a wider patient population.