ArticleJournal of cardiothoracic surgery2019
Failed MitraClip therapy: surgical revision in high-risk patients.
Article in Journal of cardiothoracic surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Mitral valve surgery after a failed MitraClip procedure.Interactive cardiovascular and thoracic surgery · 2021Pooled it
- Percutaneous Edge-to-Edge Valve Interventions: The Role of Surgical Salvage in Complex Percutaneous Techniques.Cureus · 2024Article
- Incidence, characteristics, and outcomes of reintervention after mitral transcatheter edge-to-edge repair.The Journal of thoracic and cardiovascular surgery · 2024Review
- On site cardiac surgery for structural heart interventions: a fence to mend?European heart journal supplements : journal of the European Society of Cardiology · 2022Article
- Towards the Design and Development of a Robotic Transcatheter Delivery System for Mitral Valve Implant.IEEE transactions on medical robotics and bionics · 2022Article
- Transcatheter Mitral Valve Repair or Replacement: Competitive or Complementary?Journal of clinical medicine · 2022Review
- Minimally invasive mitral valve replacement after transcatheter edge-to-edge repair.Journal of surgical case reports · 2021Article
- Electrosurgical Detachment of MitraClips From the Anterior Mitral Leaflet Prior to Transcatheter Mitral Valve Implantation.JACC. Cardiovascular interventions · 2020Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMitraClip implantation is a valid interventional option that offers acceptable short-term results. Surgery after failed MitraClip procedures remains challenging in high-risk patients. The data on these cases are limited by the small sample numbers.
aimThe aim of our study is to show, that mitral valve surgery could be possible and more advantageous, even in high-risk patients.
methodsBetween 2010 and 2016, nine patients underwent mitral valve surgery after failed MitraClip therapy at our institution.
resultsThe patients' ages ranged from 19 to 75 years (mean: 61.2 ± 19.6 years). The median interval between the MitraClip intervention and surgical revision was 45 days (range: 0 to 1087 days). In eight of nine patients, the MitraClip intervention was initially successful and the mitral regurgitation was reduced. Only one patient had undergone cardiac surgery previously. Intra-operatively, leaflet perforation or rupture, MitraClip detachment, and chordal or papillary muscle rupture were potentially the causes of recurrent mitral regurgitation. There were three early deaths. One year after surgery, the six remaining patients were alive.
conclusionsMitral valve surgery can be successfully performed after failed MitraClip therapy in high-risk patients. The initial indication for MitraClip therapy should be considered carefully for possible surgical repair.
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