Clinical Outcomes in Patients Who Underwent Transcatheter Edge-to-Edge Repair for Mitral Valve Regurgitation

Transcatheter edge-to-edge repair (TEER) in patients with mitral valve regurgitation (MR) has proved to be an effective treatment for patients not eligible for surgical repair.1 The goal of this report is to analyze clinical outcomes after TEER for MR in a single high-volume center.Methods We identi...

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Published inThe American journal of cardiology Vol. 204; pp. 223 - 225
Main Authors Dokollari, Aleksander, Sicouri, Serge, Torregrossa, Gianluca, Ridwan, Khalid, Rodriguez, Roberto, Gemelli, Marco, Erten, Ozgun, Gnall, Eric, Harish, Jarrett, Bisleri, Gianluigi, Abramson, Sandra, Hawthorne, Katie, Goldman, Scott, Gray, William, Ramlawi, Basel
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.10.2023
Elsevier Limited
Subjects
Availability
Clinical outcomes
Health care facilities
Heart attacks
Hemodynamics
Hospitals
Mitral valve
Mortality
Pacemakers
Patients
Ratios
Regurgitation
Review boards
Stroke
Surgery
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Summary:Transcatheter edge-to-edge repair (TEER) in patients with mitral valve regurgitation (MR) has proved to be an effective treatment for patients not eligible for surgical repair.1 The goal of this report is to analyze clinical outcomes after TEER for MR in a single high-volume center.Methods We identified all patients who underwent TEER for MR between March 2017 and September 2022 at Lankenau Heart Institute (Lankenau Medical Center, Wynnewood, Pennsylvania). [...]13 patients (6%) had a clip applied in A1-P1 position, 174 (87.9%) in A2-P2, and 11 (5.6%) in A3-P3. [...]158 patients (79.8%) were extubated in the operating room, and 1 patient was converted to full sternotomy owing to hemodynamic instability. [...]low complication rates and sustained MR reduction with improved echocardiographic outcomes were observed.Declaration of Competing Interest The authors have no competing interests to declare.Data availability statement The data that support the findings of this study are available upon reasonable request to Dr. Serge Sicouri, pending institutional approval.Ethical Approval The study protocol was approved by Main Line Health Hospitals institutional review board (IRB 45CFR164.512).
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ISSN:0002-9149
1879-1913
DOI:10.1016/j.amjcard.2023.07.084