Transcatheter mitral valve repair in patients with acute myocardial infarction: insights from the European Registry of MitraClip in Acute Mitral Regurgitation following an acute myocardial infarction (EREMMI)

Estévez‐Loureiro, Rodrigo; Adamo, Marianna; Arzamendi, Dabit; Denti, Paolo; Freixa, Xavier; Nombela‐Franco, Luis; Pascual, Isaac; Melica, Bruno; Attias, David; Serrador, Ana; Benito‐González, Tomas; Íñiguez, Andrés; Fernández‐Vázquez, Felipe

doi:10.4244/eij-d-19-00653

Cited by 44 publications

(42 citation statements)

References 6 publications

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“…MitraClip has successfully been used to alleviate symptoms and adverse hemodynamics in cardiogenic shock patients with severe MR (30,31). The acute hemodynamic effects of MitraClip in this cohort of patients resulted in decreased pulmonary artery, LV and atrial pressure resulting in increased cardiac output leading to recovery.…”

Section: Acute Severe Mr After Myocardial Infarctionmentioning

confidence: 99%

Edge-to-edge repair: past challenge, current case selection and future advances

Sorajja

Ukaigwe

2021

Ann Cardiothorac Surg

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Severe mitral regurgitation (MR) is associated with heart failure and impaired survival with an annual mortality risk in excess of 5% per year for unoperated patients. Despite availability of surgical mitral valve interventions, as many as half of all patients with severe MR do not receive interventions. Transcatheter edge-to-edge repair with MitraClip has been a revolutionary therapy for MR, with over 100,000 treated patients worldwide. The usage has also expanded to different challenging anatomies as well as tricuspid regurgitation. Additionally, other transcatheter edge-to-edge repair devices are being studied. The evolution of these devices as well as what to expect in the future will be discussed here.

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Section: Acute Severe Mr After Myocardial Infarctionmentioning

confidence: 99%

Edge-to-edge repair: past challenge, current case selection and future advances

Sorajja

Ukaigwe

2021

Ann Cardiothorac Surg

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“…Acute mitral regurgitation usually requires prompt surgical treatment while time to surgery can be bridged by stabilization with an intra-aortic balloon pump (IABP) or Impella in addition to medical therapy (36). Several case reports and registry data have reported emergent edge-to-edge reconstruction to be a feasible alternative in selected patients (37)(38)(39)(40).…”

Section: Acute Severe Mitral Regurgitationmentioning

confidence: 99%

Mitral and Tricuspid Transcatheter Interventions Current Indications and Future Directions

Winkel

Praz

Wenaweser

2020

Front. Cardiovasc. Med.

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Valvular heart disease is responsible for a high rate of morbidity and mortality, especially in the elderly population. With the emergence of new transcatheter treatment options, the therapeutic spectrum for patients with valvular heart disease has considerably expanded during the past years. Interventional treatment of the mitral and tricuspid valve requires an individualized and versatile approach owing to the different etiologies of valvular dysfunction and the complex anatomy of the atrioventricular valves. This article aims to review recent developments, summarize the evidence, indications and limitations of the available systems, and provide a glimpse into the future of transcatheter interventions for the treatment of mitral and tricuspid valve disease.

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“…Real-world experience on percutaneous edge-to-edge repair of acute MR is uniquely derived from case reports and small-size registries, listed and synthetized in Table 2 [19,[28][29][30][31][32][33][34][35][36][37][38][39][40][41][42][43] .…”

Section: Real-world Evidences Of Mitraclip Procedures In Acute Mrmentioning

confidence: 99%

“…Secondly, percutaneous procedures permit to avoid the cardiopulmonary bypass and the associated systemic inflammatory storm and myocardial oxidative stress. Furthermore, transcatheter procedures do not cause abnormal motion of the right ventricle or interventricular septum, which may impact on long-term LV performance [43] .…”

Section: Real-world Evidences Of Mitraclip Procedures In Acute Mrmentioning

confidence: 99%

Percutaneous mitral valve repair in acute mitral regurgitation: case report and review of the literature

Cannata¹,

Sanz‐Sánchez²,

Chiarito³

et al. 2020

Mini-invasive Surg

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Acute mitral regurgitation is a heterogeneous and life-threatening pathology, with severe hemodynamic consequences and extremely adverse outcomes. Traditionally, the definitive treatment is prompt surgical intervention after hemodynamic stabilization. Nowadays, however, percutaneous repair of mitral valve with MitraClip device has emerged as a safe and effective therapeutic option. Evidences in this field are still scarce. Hereby, we report the case of an 82-year-old woman with lateral ST-elevation myocardial infarction determining severe acute mitral regurgitation (MR) with an asymmetric leaflet tethering mechanism. Due to prohibitive operative risk and unstable hemodynamic status, the patient underwent a successful urgent MitraClip procedure with optimal reduction of MR and immediate hemodynamic improvement. Moreover, we provide a review of the available literature regarding the echocardiographic assessment of acute MR, results of published cases and possible management of this complex pathology.

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Transcatheter mitral valve repair in patients with acute myocardial infarction: insights from the European Registry of MitraClip in Acute Mitral Regurgitation following an acute myocardial infarction (EREMMI)

Cited by 44 publications

References 6 publications

Edge-to-edge repair: past challenge, current case selection and future advances

Edge-to-edge repair: past challenge, current case selection and future advances

Mitral and Tricuspid Transcatheter Interventions Current Indications and Future Directions

Percutaneous mitral valve repair in acute mitral regurgitation: case report and review of the literature

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