Endovascular Release of a 50-Year-Old Adams-Deweese IVC Clip to Facilitate Percutaneous Repair of Mitral Valve Regurgitation.

Autor:	Su YK; Division of Interventional Radiology, Department of Radiological Sciences, UCLA David Geffen School of Medicine, Los Angeles, CA., Harrison BL; Division of Interventional Radiology, Department of Radiological Sciences, UCLA David Geffen School of Medicine, Los Angeles, CA., Dunne EC; Division of Interventional Radiology, Department of Radiology, Mater Misericordiae University Hospital, Dublin 7, Ireland. Electronic address: emmadunne@rcsi.ie., Calfon Press M; Division of Interventional Cardiology, UCLA Cardiovascular Center, 100 Medical Plaza, Suite 630, Los Angeles, CA., Moriarty JM; Division of Interventional Radiology, Department of Radiological Sciences, UCLA David Geffen School of Medicine, Los Angeles, CA; Division of Interventional Radiology, Department of Radiology, Mater Misericordiae University Hospital, Dublin 7, Ireland.
Jazyk:	angličtina
Zdroj:	Annals of vascular surgery [Ann Vasc Surg] 2021 Nov; Vol. 77, pp. 353.e1-353.e5. Date of Electronic Publication: 2021 Aug 27.
DOI:	10.1016/j.avsg.2021.06.008
Abstrakt:	Percutaneous mitral valve (MV) repair using MitraClip requires large-caliber venous access. We describe a patient with a ligated inferior vena cava due to an Adams-DeWeese clip placed 50 years prior, who had progressive shortness of breath and lower extremity symptoms secondary to severe mitral regurgitation and chronic iliocaval deep venous thrombosis. Due to comorbidities, MitraClip was recommended over surgery for MV repair. Caval luminal gain was required to facilitate endovascular access for the MitraClip system. Stent-mediated release of the inferior vena cava clip allowed successful passage of the delivery sheath from the common femoral vein to MV and subsequent valve repair. (Copyright © 2021 Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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