Journals / Türk Kardiyoloji Derneği Arşivi / 2015 / Cilt: 43 - Sayı: 3

MitraClip cihazının beklenmeyen komplikasyonu: Cihaz kanatlarından birinin sol atriyumda yönlendirici kateter içerisinde sıkışması

An unexpected complication of the MitraClip device: one of the arms gets stuck inside the guide catheter in the left atrium

Pages
281–283
Publication Date
2022-11-05
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

One MitraClip arm got stuck inside the guide catheter in the left atrium and a decision was made to discontinue percutaneous intervention because the problem could not be resolved.

📌 3 Key Takeaways

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Objective & Hypothesis:Summary Percutaneous edge-to-edge mitral valve repair using the MitraClip (Abbot Vascular, USA) system is a promising technique for mitral regurgitation treatment in select high-risk surgical patients.
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Key Findings & Data:Although the safety and efficacy of the technique have been demonstrated, a few complications of the MitraClip device have been reported.
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Conclusion & Impact:One MitraClip arm got stuck inside the guide catheter in the left atrium and a decision was made to discontinue percutaneous intervention because the problem could not be resolved.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Summary Percutaneous edge-to-edge mitral valve repair using the MitraClip (Abbot Vascular, USA) system is a promising technique for mitral regurgitation treatment in select high-risk surgical patients. Although the safety and efficacy of the technique have been demonstrated, a few complications of the MitraClip device have been reported. In this report, we present a rare complication that recently occurred during the performance of a MitraClip procedure in a patient with severe functional mitral regurgitation. One MitraClip arm got stuck inside the guide catheter in the left atrium and a decision was made to discontinue percutaneous intervention because the problem could not be resolved.

Özet

Perkütan uç uca mitral kapak tamiri yöntemi olarak MitraClip (Abbot Vascular, USA) sistemi, yüksek riskli seçilmiş hastalarda mitral yetersizliği tedavisi için umut vaad etmektedir. Bu tekniğin etkinliği ve güvenilirliği gösterilmiş olmakla birlikte, az sayıda da olsa MitraClip cihaz komplikasyonu bildirilmiştir. Biz bu yazıda ileri derece fonksiyonel mitral yetersizliği nedeniyle MitraClip işlemi yapılırken ortaya çıkan nadir bir komplikasyonu sunuyoruz. MitraClip cihazının kanatlarından biri yönlendirici kateter içerisinde sıkıştı ve problemin sol atriyumda çözülememesi nedeniyle işleme son verme kararı aldık.

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Cite This Article

AVCI, A., ESEN, A. M., TOPRAK, C., KIRMA, C., KAHVECİ, G. (2022). MitraClip cihazının beklenmeyen komplikasyonu: Cihaz kanatlarından birinin sol atriyumda yönlendirici kateter içerisinde sıkışması. Türk Kardiyoloji Derneği Arşivi, Cilt: 43 - Sayı: 3, 281–283. https://ajindex.com/articles/632596

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References (3)

  1. Vahanian A, Alfieri O, Andreotti F, Antunes MJ, Barón-Esquivias G, Baumgartner H, et al. Guidelines on the management of valvular heart disease (version 2012): the Joint Task Force on the Management of Valvular Heart Disease of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS). Eur J Cardiothorac Surg 2012;42:1-44
  2. Wan B, Rahnavardi M, Tian DH, Phan K, Munkholm-Larsen S, Bannon PG, et al. A meta-analysis of MitraClip system versus surgery for treatment of severe mitral regurgitation. Ann Cardiothorac Surg 2013;2:683-92
  3. Paranskaya L, D’Ancona G, Bozdag-Turan I, Akin I, Kische S, Turan GR, et al. Percutaneous vs surgical repair of mitral valve regurgitation: single institution early and midterm outcomes. Can J Cardiol 2013;29:452-9.