Understanding transcatheter edge-to-edge repair "knobology": Advanced catheter steering for different scenarios of transseptal puncture.
Giulio RussoAlessia d'AielloDaniela PedicinoShingo KuwataGiuseppe Massimo SangiorgiMaurizio TaramassoFrancesco MaisanoPublished in: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions (2024)
Following the introduction in the latest European and American guidelines, transcatheter edge-to-edge repair has become a valid alternative to surgery for ineligible patients. Among the available technologies, MitraClip (Abbott) was the first to be introduced for the percutaneous treatment of mitral regurgitation with the edge-to-edge technique. Although its safety and effectiveness has been widely demonstrated, the optimal procedural results are highly dependent from operators' experience. In this manuscript, we provide a full guide of advanced steering maneuvers of MitraClip in different scenarios of transseptal puncture.
Keyphrases
- ultrasound guided
- minimally invasive
- climate change
- mitral valve
- end stage renal disease
- ejection fraction
- randomized controlled trial
- systematic review
- chronic kidney disease
- prognostic factors
- heart failure
- clinical practice
- peritoneal dialysis
- atrial fibrillation
- left ventricular
- combination therapy
- patient reported outcomes
- replacement therapy