作者
Haytham EL‐Shurafa, Amr A Arafat, Monirah A Albabtain, Latifa A AlFayez, Mohammad AlOtaiby, Khaled D Algarni, Claudio Pragliola
发表日期
2020/12
期刊
Journal of Cardiac Surgery
卷号
35
期号
12
页码范围
3362-3367
简介
Background
Reintervention after transcatheter edge to edge repair using MitraClip is still challenging. We aimed to report our experience in reinterventions after MitraClip procedures and describe the outcomes.
Methods
From 2012 to 2020, 167 patients had a transcatheter edge to edge repair; 10 of them needed reinterventions. At the time of the first MitraClip, the median EuroSCORE was 4.29 (2.62–7.52), and the ejection fraction was 30 (20–40)%.
Results
Emergency mitral valve replacement (MVR) was performed in two patients, elective MVR in three, cardiac transplantation in two, and repeat clipping in threepatients. The median time from MitraClip to the reintervention was 4.5 (2–13) months. One patient required extracorporeal membrane oxygenation support after elective MVR. Repeat clipping failed to control mitral regurgitation grade in all patients. Clip detachment was reported in five patients (50 …
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H EL‐Shurafa, AA Arafat, MA Albabtain, LA AlFayez… - Journal of Cardiac Surgery, 2020