Pigtail catheter'propping'for MitraClip percutaneous transcatheter mitral valve repair
| Autor: | Robert Butler, Kully Sandhu, Adrian Large |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Mitral regurgitation Percutaneous business.industry MitraClip General Medicine 030204 cardiovascular system & hematology Pigtail catheter Cardiac surgery 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Mitral valve Internal medicine cardiovascular system Cardiology medicine Radiology Nuclear Medicine and imaging In patient Transcatheter mitral valve repair cardiovascular diseases 030212 general & internal medicine Cardiology and Cardiovascular Medicine business |
| Zdroj: | Catheterization and Cardiovascular Interventions. 88:316-318 |
| ISSN: | 1522-1946 |
| DOI: | 10.1002/ccd.26288 |
| Popis: | In recent years percutaneous therapy has emerged as a feasible and effective option for the treatment of mitral regurgitation, particularly in cases where the risks of conventional cardiac surgery are prohibitively high. To date the most widely used percutaneous approach is beating heart, edge-to-edge repair with the MitraClip device (Abbott Vascular-Structural Heart, Menlo Park, CA). The technique requires simultaneous grasping and approximation of both mitral valve leaflets prior to securing and releasing the clip. However, this may be technically challenging or indeed impossible in patients with failure of coaptation, particularly when there is a large coaptation gap. We present an approach for overcoming this relatively common obstacle based on "propping" the anterior mitral valve leaflet toward its posterior counterpart with a diagnostic pigtail catheter to reduce the coaptation gap and to allow grasping of both leaflets without difficulty. © 2016 Wiley Periodicals, Inc. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text