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Hellenic J Cardiol. 2012 Sep-Oct;53(5):343-51.

Percutaneous mitral valve repair using the edge-to-edge technique: first Greek experience.

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1
Department of Transcutaneous Heart Valves, Hygeia Hospital, Athens, Greece. kspargias@hygeia.gr

Abstract

INTRODUCTION:

Mitral valve (MV) repair is the treatment of choice for degenerative mitral regurgitation (MR), but the surgical options for functional MR are limited. Percutaneous edge-to-edge MV repair using the MitraClip system has evolved as a new tool for the treatment of certain anatomical subsets of both functional and degenerative MR. We present the first Greek series of MV repair using the MitraClip.

METHODS:

Five symptomatic patients (age 75 ± 9 years, logistic EuroSCORE 29 ± 11%) with moderate-tosevere (n=2) or severe (n=3) MR underwent MV repair using the MitraClip. All patients were treated with one clip and there were no primary adverse events.

RESULTS:

Acute MR reduction by 3 grades was achieved in 2 patients and by 2 grades in 3 patients (reduction 2 grades in 100%). The total procedure time was 2.9 ± 2 hours (median 2 hours), the length of the ICU stay was 1 ± 0 day and the total length of hospital stay was 3.2 ± 0.6 days. All patients reported functional status improvement by 1 month (mean NYHA class improved from 3.0 ± 0.3 to 1.6 ± 0.6).

CONCLUSION:

Our initial experience with percutaneous MV repair using the MitraClip system demonstrated that it can be performed safely, resulting in substantial acute echocardiographic and early clinical improvement.

PMID:
22995605
[Indexed for MEDLINE]
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