Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions
-
Catheter Cardiovasc Interv · Nov 2019
Review Meta AnalysisClinical outcomes of percutaneous mitral valve repair with MitraClip for the management of functional mitral regurgitation.
To evaluate the safety and efficacy of percutaneous mitral valve repair for the management of functional mitral insufficiency. ⋯ Based on the results of this meta-analysis, percutaneous mitral valve repair with MitraClip appears to be superior to medical therapy for symptomatic moderate-to-severe functional mitral insufficiency. Further clinical research is needed to identify the ideal patient subgroups who receive maximum benefit with the MitraClip therapy.
-
Catheter Cardiovasc Interv · Nov 2019
Observational StudyIatrogenic atrial septal defect closure after transseptal mitral valve interventions: Indications and outcomes.
Review indications and outcomes for transcatheter iatrogenic atrial septal defect (iASD) closure in patients undergoing MitraClip or transseptal (TS) mitral valve-in-valve/ring (ViV/ViR) procedures. ⋯ The most common reasons for iASD closure after TS MV procedures are: large ASD unlikely to spontaneously close, large left-to-right shunt, and pulmonary hypertension. Patients who required iASD closure had low 30-day mortality but higher one-year mortality potentially reflecting a population with substantial comorbidities.