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Case Reports
. 2022 Jul:40S:196-199.
doi: 10.1016/j.carrev.2021.05.020. Epub 2021 May 27.

QCA to Guide Treatment of Inter-Clip Mitral Regurgitation Between Two Previously Implanted MitraClips

Tanush Gupta  1 , Nadeen Faza  1 , Denny Joseph  1 , Stephen H Little  1 , Neal S Kleiman  1 , Moritz C Wyler von Ballmoos  1 , Sachin S Goel  2
Affiliations
Case Reports

QCA to Guide Treatment of Inter-Clip Mitral Regurgitation Between Two Previously Implanted MitraClips

Tanush Gupta et al. Cardiovasc Revasc Med. 2022 Jul.

Abstract

Treatment of recurrent MR after initially successful MitraClip procedure can pose therapeutic challenges. We report a successful case of redo MitraClip to treat recurrent inter-clip MR due to progression of underlying degenerative valvular pathology with prolapsing posterior mitral leaflet between the two prior clips. In this vignette, we describe the novel use of quantitative coronary arteriography (QCA) to select redo MitraClip as the treatment strategy.

Keywords: Inter-clip MR; MitraClip; Mitral regurgitation; Quantitative coronary arteriography.

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Conflict of interest statement

Declaration of competing interest None of the authors have any relevant conflicts of interest to disclose.

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