Transjugular Transcatheter Mitral Valve Repair with Mitraclip

Chizner, Ryan; Maini, Brijeshwar; Bethea, Brian; Patton, Marquand

doi:10.1080/24748706.2018.1487613

Cited by 2 publications

(4 citation statements)

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“…This is due to the “suction of air” from the atmosphere into the lower pressure venous system (especially during inspiration) as the sheath is being removed. Complications were not noted in our case or in the prior 2 published cases 3,4 . Larger data sets are needed to systematically categorize and characterize contraindications and complications specific to the transjugular route.…”

Section: Discussionmentioning

confidence: 58%

“…With an increasing number of MitraClip procedures performed in an ever so complex patient population, the lack of adequate transfemoral access prohibiting treatment has anecdotally surfaced. Recently, two cases of MitraClip cases were performed via the transjugular approach in patients with occluded inferior vena cava (IVC) filters 3,4 . The MitraClip procedure is technically challenging and the performance of this procedure via the transjugular approach adds to the complexity with several technical and anatomical considerations.…”

Section: Introductionmentioning

confidence: 99%

“…The MitraClip procedure is technically challenging and the performance of this procedure via the transjugular approach adds to the complexity with several technical and anatomical considerations. The above publications provide only a brief description of these and were performed for MR arising from the central region of the mitral valve 3,4 . We aim to review these cases (see Table 1), report in detail a case of MitraClip procedure carried out via the transjugular approach for medial MR jet in a patient with prior mitral valve repair with an annuloplasty ring and discuss step‐by‐step the pertinent clinical and technical considerations.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Transjugular mitral valve repair with the MitraClip: A step‐by‐step guide

Yap

Chen

Smith

et al. 2020

Cathet Cardio Intervent

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The MitraClip procedure is carried out almost exclusively via the transfemoral approach. However, in some patients transfemoral delivery of MitraClip is not technically feasible (e.g., occluded inferior vena cava or tortuous/obstructive iliofemoral venous anatomy). The technical considerations and challenges of the MitraClip procedure are amplified when an alternate route is considered. We describe a successful case of MitraClip performed via the right internal jugular (IJ) approach in a patient with a flail A3 scallop and previous mitral valve repair. We reviewed prior cases in the literature and discuss step‐by‐step the pertinent clinical and technical considerations for performing this procedure via the transjugular route. In summary, the right IJ access site provides a reasonable alternative to perform the MitraClip procedure in cases where femoral access is contraindicated or prohibitive. A thorough understanding of the technical considerations is crucial in improving procedural success rates.

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Section: Discussionmentioning

confidence: 58%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Transjugular mitral valve repair with the MitraClip: A step‐by‐step guide

Yap

Chen

Smith

et al. 2020

Cathet Cardio Intervent

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show abstract

“…The use of jugular and hepatic venous access and occluded IVC for delivery of Mitraclip (Abbott, Abbott Park, Illinois) have been reported previously. [1][2][3] To our knowledge, this is the first report of transcatheter mitral valve-in-valve procedure after recanalization of occluded IVC.…”

mentioning

confidence: 82%