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Effective 3 Leaflet Grasping During TriClip Procedure: The "3-Point" Buzzer Beater
Fausto Castriota, Giuseppe Gobbi, Angelo Squeri
1Maria Cecilia Hospital, Via Corriera 1, 48033 Cotignola RA, Italy. robertonerla83@gmail.com.
The Journal of Invasive Cardiology
|December 8, 2022
Summary
This study reports the first simultaneous grasping of all three leaflets during TriClip implantation, creating a "clover" configuration. This technique offers a new option for challenging cases requiring precise valve leaflet engagement.
Area of Science:
- Cardiovascular Medicine
- Interventional Cardiology
- Medical Devices
Background:
- Transcatheter edge-to-edge repair (TEER) is a minimally invasive treatment for mitral regurgitation.
- Accurate leaflet grasping is crucial for successful TEER outcomes.
- Challenging leaflet anatomy can complicate standard TEER procedures.
Purpose of the Study:
- To describe a novel technique for simultaneous grasping of all three mitral valve leaflets during TriClip implantation.
- To evaluate the feasibility and potential benefits of this approach in complex cases.
Main Methods:
- Case report detailing the implantation of the TriClip device (Abbott Cardiovascular).
- Description of the technique involving simultaneous grasping of all three valve leaflets.
- Assessment of the final valve configuration and hemodynamic result.
Main Results:
- Successful simultaneous grasping of all three mitral valve leaflets was achieved.
- The final valve configuration resulted in a triple orifice, mimicking the surgical "clover" technique.
- This approach facilitated a successful repair in a challenging case.
Conclusions:
- Simultaneous grasping of all three leaflets during TriClip implantation is feasible.
- This technique may be a valuable option for selected patients with challenging mitral valve anatomy.
- The resulting "clover" configuration may enhance repair efficacy in specific scenarios.
