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First-in-man report of residual "intra-clip" regurgitation between two MitraClips treated by AMPLATZER vascular plug II


Taramasso, Maurizio; Zuber, Michel; Gruner, Christiane; Gaemperli, Oliver; Nietlispach, Fabian; Maisano, Francesco (2016). First-in-man report of residual "intra-clip" regurgitation between two MitraClips treated by AMPLATZER vascular plug II. EuroIntervention, 11(13):1537-1540.

Abstract

Aims: We present here the first-in-man case report of a patient with a significant residual "intra-clip" jet treated by the implantation of an AMPLATZER Vascular Plug II. Methods and results: A 64-year-old gentleman came to our attention for mitral regurgitation (MR) recurrence four years after transcatheter mitral repair with MitraClip. After the implantation of two further MitraClips, residual intra-clip MR was present, without room for a further clip. An AMPLATZER Vascular Plug II was successfully deployed between the two clips. Final echocardiography showed residual mild MR, without any sign of mitral stenosis. Conclusions: This case demonstrates the feasibility of the implantation of an AMPLATZER Vascular Plug between two MitraClips to treat significant residual "intra-clip" MR, when the implantation of an adjunctive clip is not feasible. This approach may represent an effective therapeutic solution in case of a significant residual intra-clip jet.

Abstract

Aims: We present here the first-in-man case report of a patient with a significant residual "intra-clip" jet treated by the implantation of an AMPLATZER Vascular Plug II. Methods and results: A 64-year-old gentleman came to our attention for mitral regurgitation (MR) recurrence four years after transcatheter mitral repair with MitraClip. After the implantation of two further MitraClips, residual intra-clip MR was present, without room for a further clip. An AMPLATZER Vascular Plug II was successfully deployed between the two clips. Final echocardiography showed residual mild MR, without any sign of mitral stenosis. Conclusions: This case demonstrates the feasibility of the implantation of an AMPLATZER Vascular Plug between two MitraClips to treat significant residual "intra-clip" MR, when the implantation of an adjunctive clip is not feasible. This approach may represent an effective therapeutic solution in case of a significant residual intra-clip jet.

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Additional indexing

Item Type:Journal Article, refereed, further contribution
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Cardiology
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:20 April 2016
Deposited On:12 Feb 2015 10:34
Last Modified:08 Dec 2017 11:03
Publisher:Europa Edition
ISSN:1774-024X
Free access at:PubMed ID. An embargo period may apply.
Publisher DOI:https://doi.org/10.4244/EIJY14M12_04
PubMed ID:25493913

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