ArticleCirculation. Cardiovascular interventions2024
Transcatheter Mitral Valve Replacement Using Annular Reduction by Cinching With TEER in the Commissure (ARCTIC).
Article in Circulation. Cardiovascular interventions, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- The TriArtic procedure: TRIcuspid annular reduction by TEER in the commissure-a transcatheter annuloplasty enabling EVOQUE tricuspid valve replacement: a case report.European heart journal. Case reports · 2026Article
- ARCTIC-T: Annular Reduction by Cinching With Transcatheter Tricuspid Edge-to-Edge Repair to Facilitate Concomitant Transcatheter Tricuspid Valve Replacement.Structural heart : the journal of the Heart Team · 2026Article
- Evolution of Clinical Indications for Mitral Valve Transcatheter Edge-to-Edge Repair.Reviews in cardiovascular medicine · 2026Review
- Annular Reduction by Cinching With TEER in Commissure in Conventionally Inappropriate Ring for Transcatheter Valve.JACC. Case reports · 2025Article
- The Emerging Role of Lithotripsy in Structural Heart Interventions.Current cardiology reports · 2025Review
- Beyond multivalvular disease: imaging-guided diagnosis and management of combined functional mitral and tricuspid regurgitation.European heart journal. Imaging methods and practice · 2025Article
- Transcatheter mitral valve replacement or repair for mitral regurgitation: a narrative review.Indian journal of thoracic and cardiovascular surgery · 2025Review
- Stent With Occluder in the Valve Commissure Technique for Transcatheter Mitral Valve Replacement.JACC. Case reports · 2025Article
Corrections and comments
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMitral annular calcification with valve dysfunction remains a challenging syndrome. Operative risk is high, and available transcatheter therapies are limited.
methodsThis study describes our initial experience with a novel procedure to address large mitral annuli when no surgical or trial-based transcatheter mitral valve replacement device is available. The rationale was to shorten the intercommissural distance using commissural mitral transcatheter edge-to-edge repair (TEER) followed by valve-in-mitral annular calcification transcatheter mitral valve replacement with a balloon-expandable aortic valve platform. Patients with long intercommissural distances and large mitral annulus areas were selected based on a high perceived risk of transcatheter valve embolization. Patients underwent mitral TEER with MitraClip in a commissural position, followed immediately by transseptal transcatheter mitral valve replacement with a 29 mm SAPIEN 3 valve.
resultsThirteen patients were included. Median intercommissural distance and annular area were 39.1 mm and 930 mm
conclusionsIn patients with large annuli and sufficient annular calcium, a hybrid mitral TEER and valve replacement with the SAPIEN platform can be successfully used to facilitate transcatheter mitral valve replacement.
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