QCA to Guide Treatment of Inter-Clip Mitral Regurgitation Between Two Previously Implanted MitraClips

Tanush Gupta; Nadeen Faza; Denny Joseph; Stephen H Little; Neal S Kleiman; Moritz C Wyler von Ballmoos; Sachin S Goel

doi:10.1016/j.carrev.2021.05.020

QCA to Guide Treatment of Inter-Clip Mitral Regurgitation Between Two Previously Implanted MitraClips

Cardiovasc Revasc Med. 2022 Jul:40S:196-199. doi: 10.1016/j.carrev.2021.05.020. Epub 2021 May 27.

Authors

Tanush Gupta¹, Nadeen Faza¹, Denny Joseph¹, Stephen H Little¹, Neal S Kleiman¹, Moritz C Wyler von Ballmoos¹, Sachin S Goel²

Affiliations

¹ Houston Methodist DeBakey Heart & Vascular Center, Houston, TX, United States of America.
² Houston Methodist DeBakey Heart & Vascular Center, Houston, TX, United States of America. Electronic address: [email protected].

PMID: 34059465
DOI: 10.1016/j.carrev.2021.05.020

Abstract

Treatment of recurrent MR after initially successful MitraClip procedure can pose therapeutic challenges. We report a successful case of redo MitraClip to treat recurrent inter-clip MR due to progression of underlying degenerative valvular pathology with prolapsing posterior mitral leaflet between the two prior clips. In this vignette, we describe the novel use of quantitative coronary arteriography (QCA) to select redo MitraClip as the treatment strategy.

Keywords: Inter-clip MR; MitraClip; Mitral regurgitation; Quantitative coronary arteriography.

Publication types

Case Reports

MeSH terms

Heart Valve Prosthesis Implantation* / adverse effects
Heart Valve Prosthesis Implantation* / methods
Humans
Mitral Valve / diagnostic imaging
Mitral Valve / surgery
Mitral Valve Insufficiency* / diagnostic imaging
Mitral Valve Insufficiency* / surgery
Surgical Instruments
Treatment Outcome