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Case Reports
. 2021 Oct 1;5(10):ytab397.
doi: 10.1093/ehjcr/ytab397. eCollection 2021 Oct.

Same-day discharge after transcatheter mitral valve repair using MitraClip in a tertiary community hospital: a case series

Medhat Chowdhury  1 , Rupinder Buttar  1 , Devesh Rai  1 , Muhammad Waqas Tahir  1 , Bryan E-Xin Tan  1 , Samarthkumar Thakkar  1 , Hammad Ali  2 , Harsh P Patel  3 , Deepak L Bhatt  4 , Jeremiah P Depta  5
Affiliations
Case Reports

Same-day discharge after transcatheter mitral valve repair using MitraClip in a tertiary community hospital: a case series

Medhat Chowdhury et al. Eur Heart J Case Rep. .

Abstract

Background: Due to the current Coronavirus Disease 2019 (COVID-19) pandemic, there is a realization for innovation in procedures and protocols to minimize hospital stay and at the same time ensure continued evidence-based treatment delivered to the patients. We present a same-day discharge protocol for transcatheter mitral valve repair (TMVR) using MitraClip under general anaesthesia in a six-patient case series. This protocol aims to reduce the length of hospital stay, thereby minimizing potential for nosocomial COVID-19 infections and to promote safe discharge with cautious follow-up.

Case summary: Six patients with severe symptomatic mitral valve (MV) regurgitation underwent successful transfemoral MV repair using standard procedures. Following repair, patients were monitored on telemetry in the recovery area for 3 h, ambulated to assess vascular access stability and underwent post-procedural transthoracic echocardiogram to assess for any pericardial effusion or post-procedural prosthetic mitral stenosis.

Conclusion: Same-day discharge after TMVR is possible when done cautiously with close follow-up, can minimize hospital stay, improve resource utilization, and reduce risk of nosocomial COVID-19 infection.

Keywords: COVID-19; Case report; Case series; Day case procedure; MitraClip; Same-day discharge; Transcatheter mitral valve repair.

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Figures

Figure 1
Figure 1
Proposed protocol for selection of patients with favourable characteristics for same-day discharge. TMVR, transcatheter mitral valve repair; TTE, transthoracic echocardiography
Figure 2
Figure 2
Pre- and post-procedural protocol for same-day discharge following transcatheter mitral valve repair. BNP, brain natriuretic peptide.
None
See this image and copyright information in PMC

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