Complications Following Percutaneous Mitral Valve Repair

Gheorghe, Livia; Ielasi, Alfonso; Rensing, Benno J.; Eefting, Frank D.; Timmers, Leo; Latib, Azeem; Swaans, Martin J.

doi:10.3389/fcvm.2019.00146

Cited by 31 publications

(35 citation statements)

References 54 publications

(94 reference statements)

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“…Clip-specific complications occurred at much lower rates; these included partial clip detachment (2%) and thrombus formation on the clip (0.1%) ( 4 ). Conduction abnormalities are not a known complication of MC implantation ( 5 ). Eggebrecht et al.…”

Section: Discussionmentioning

confidence: 99%

Complete Atrioventricular Block

et al. 2021

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MitraClip (Abbott Vascular, Inc., Santa Clara, California) has emerged as a viable alternative for treatment of symptomatic severe mitral regurgitation. Conduction abnormalities are not a known complication of this procedure. We report a case of complete heart block without a ventricular escape rhythm immediately following MitraClip placement near the medial leaflets (A3-P3) in a patient with underlying trifascicular block. ( Level of Difficulty: Intermediate. )

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Section: Discussionmentioning

confidence: 99%

Complete Atrioventricular Block

et al. 2021

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“…Acute hemodynamic deterioration during MitraClip repair usually results from complications related to major or life‐threatening bleeding 16,17 . Clinical deterioration due to acute hypoxemia secondary to large right‐to‐left shunting should be addressed by immediate closure of the iASD.…”

Section: Clinical Consequencesmentioning

confidence: 99%

“…Acute hemorrhage, cardiac perforation, pericardial tamponade, and transseptal procedure‐related complications are more common and should be quickly ruled out before considering iASDs as the culprit for clinical instability 16 . Once ruled out, the iASD can be evaluated as the cause of hemodynamic instability or acute, persistent hypoxia via transient balloon occlusion of the defect 6,22,23 .…”

Section: Managementmentioning

confidence: 99%

Iatrogenic atrial septal defect following the MitraClip procedure: A state‐of‐the‐art review

Kadado

Islam

2020

Cathet Cardio Intervent

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With an increase in number of patients undergoing percutaneous treatment of severe mitral regurgitation with MitraClip placement, the consequences of transseptal puncture resulting in iatrogenic atrial septal defects (iASDs) are being increasingly realized. Closure of iASDs following MitraClip therapy is not routinely performed, and no guidelines currently exist in managing this condition. While immediate hemodynamic and clinical compromise secondary to acute hypoxemia related to iASDs should be acutely managed with defect closure, the prevalence and consequences of long‐term iASDs are still unclear. Some studies have cited a potential improvement in hemodynamic outcomes as a result of iASDs; while others report potential inferior and even fatal outcomes. In this state‐of‐the‐art clinical review, we present the readers with the current data on the prevalence, outcomes, and potential management options of iASDs after MitraClip placement.

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“…The complications associated with clip placement include pericardial tamponade, migration and partial clip detachment. 4 The third cardiovascular clip (Ligaclip by Ethicon, Blue Ash, OH, USA) is frequently used in the obliteration of a patent ductus arteriosus in patients who have failed conservative management. The titanium Ligaclip can be deployed by a thoracotomy or a thoracoscopic approach and is more time-efficient compared to traditional surgical ligation.…”

mentioning

confidence: 99%