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https://www.readbyqxmd.com/read/28099954/an-evolution-of-management-in-hypertrophic-cardiomyopathy-myectomy-alcohol-septal-ablation-mitral-valve-replacement-mitraclip
#1
Konstantinos Dean Boudoulas, Harisios Boudoulas
No abstract text is available yet for this article.
January 19, 2017: Cardiology
https://www.readbyqxmd.com/read/28095388/the-use-of-mitraclip-for-symptomatic-patients-with-hypertrophic-obstructive-cardiomyopathy
#2
Felix Thomas, Florian Rader, Robert J Siegel
OBJECTIVES: Current nonpharmacological therapies for symptomatic patients with hypertrophic obstructive cardiomyopathy (HOCM), including septal myectomy and alcohol septal ablation (ASA), carry significant risks for serious cardiac conduction abnormalities. We present a review of the currently available published data regarding the novel use of the relatively low-risk MitraClip® system in the treatment of symptomatic patients. METHODS: Data were collected from 4 separate studies on the use of the MitraClip on 15 symptomatic HOCM patients with systolic anterior motion (SAM) of the mitral valve apparatus...
January 18, 2017: Cardiology
https://www.readbyqxmd.com/read/28089952/impact-of-tricuspid-valve-regurgitation-in-surgical-high-risk-patients-undergoing-mitraclip-implantation-results-from-the-trami-registry
#3
Daniel Kalbacher, Ulrich Schäfer, R Stephan Von Bardeleben, Christine S Zuern, Raffi Bekeredjian, Taoufik Ouarrak, Horst Sievert, Georg Nickenig, Peter Boekstegers, Jochen Senges, Wolfgang Schillinger, Edith Lubos
AIMS: We sought to assess the impact of TR severity on patient outcome in a collective with relevant mitral regurgitation undergoing MitraClip implantation. METHODS AND RESULTS: From 08/2010-07/2013, 766 patients (age 75.3±8.5 years, 61% male gender, median EuroSCORE 24.3%±18.4) were prospectively enrolled in the TRAMI registry and stratified by echocardiography in no/mild, moderate and severe TR. Overall, the mean of implanted MitraClips was higher in patients with severe TR but increasing TR severity was not associated with procedural success...
January 17, 2017: EuroIntervention
https://www.readbyqxmd.com/read/28073864/mitraclip-improves-mitral-valve-geometry-in-complex-organic-mitral-regurgitation-insights-from-three-dimensional-echocardiography
#4
Philippe Debonnaire, Frank van der Kley, Nina Ajmone Marsan, Victoria Delgado
No abstract text is available yet for this article.
January 10, 2017: European Heart Journal
https://www.readbyqxmd.com/read/28069638/feasibility-and-predictors-of-early-discharge-after-percutaneous-edge-to-edge-mitral-valve-repair
#5
Corrado Tamburino, Sergio Buccheri, Antonio Popolo Rubbio, Salvatore Scandura, Maria Elena Di Salvo, Sarah Mangiafico, Sebastiano Immé, Giuseppe Caruso, Matteo Scalia, Antonio Condorelli, Marco Barbanti, Piera Capranzano, Davide Capodanno, Carmelo Grasso
BACKGROUND: Percutaneous edge-to-edge mitral valve repair (PMVR) recently emerged as an effective treatment modality for patients with severe mitral regurgitation (MR). Length of postprocedural hospital stay may represent a modifiable cost associated with percutaneous treatment. We looked at feasibility, predictors and safety of early discharge (ED), defined as hospital discharge within 72 hours, in patients undergoing PMVR. METHODS AND RESULTS: Consecutive patients treated with MitraClip from October 2008 to December 2015 were analysed...
January 9, 2017: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/28065911/tricuspid-regurgitation-repair-with-a-mitraclip-device-the-pivotal-role-of-3d-transoesophageal-echocardiography
#6
Eleonora Avenatti, Colin M Barker, Stephen H Little
No abstract text is available yet for this article.
January 8, 2017: European Heart Journal Cardiovascular Imaging
https://www.readbyqxmd.com/read/28063811/mitral-stenosis-due-to-dynamic-clip-leaflet-interaction-during-the-mitraclip-procedure-case-report-and-review-of-current-knowledge
#7
REVIEW
Gagan D Singh, Thomas W Smith, Jason H Rogers
The goal of MitraClip therapy is to achieve mitral regurgitation reduction without iatrogenic creation of clinically significant MS. In some series, up to 35% of patients are left with mild MS. There are many contributors to the final transmitral gradient achieved in patients undergoing MitraClip therapy. Additionally, there are many modalities used for the intraprocedural assessment of MS with no one modality considered to be the benchmark. We herein describe a case which illustrates the dynamic nature of clip-leaflet interaction, and review intraprocedural techniques for invasively and noninvasively assessing MS...
December 22, 2016: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://www.readbyqxmd.com/read/28044988/feasibility-of-concomitant-mitraclip-and-left-atrial-appendage-occlusion
#8
Shingo Kuwata, Maurizio Taramasso, Michel Zuber, Gabor Suetsch, Adrian Attinger-Toller, David Wicki, Francesco Maisano, Fabian Nietlispach
AIMS: The aim of our study is to report our single center experience with concomitant MitraClip (MC) and left atrial appendage occlusion (LAAO) and to further assess feasibility, safety and short term outcome of such an approach. METHODS AND RESULTS: Twenty-five consecutive patients underwent MC with concomitant LAAO at our hospital (combined group). As a control group, 25 consecutive patients with atrial fibrillation (AF) undergoing standalone MC were selected...
January 3, 2017: EuroIntervention
https://www.readbyqxmd.com/read/28041699/impact-of-interventional-edge-to-edge-repair-on-mitral-valve-geometry
#9
Robert Schueler, Sarah Kaplan, Charlotte Melzer, Can Öztürk, Marcel Weber, Jan-Malte Sinning, Armin Welz, Nikos Werner, Georg Nickenig, Christoph Hammerstingl
BACKGROUND/OBJECTIVES: The acute and long-term effects of interventional edge-to-edge repair on the mitral valve (MV) geometry are unclear. We sought to assess MV-annular geometry and the association of changes in MV-diameters with functional response one year after MitraClip implantation. METHODS: Consecutive patients (n=84; age 81.2±8.3years, logistic EuroSCORE 21.7±17.9%) with symptomatic moderate-to-severe mitral regurgitation (MR) underwent MitraClip-procedure...
December 21, 2016: International Journal of Cardiology
https://www.readbyqxmd.com/read/28029352/-mitral-valve-repair-with-the-mitraclip-following-surgical-mitral-annuloplasty-failure
#10
F Picard, V-X Tadros, X Millán, A W Asgar
Mitral repair using the MitraClip device is on ongoing expansion and has been evaluated in different patterns of mitral regurgitation. Nevertheless, surgical approaches to mitral regurgitation remain the standard of care, at least in absence of contraindication. We report the first Canadian experience of mitral valve repair with the MitraClip following surgical mitral annuloplasty failure. Therapeutic considerations and potential challenges are discussed.
October 28, 2016: Annales de Cardiologie et D'angéiologie
https://www.readbyqxmd.com/read/28009952/hemodynamic-improvement-at-three-months-after-mitraclip%C3%A3-%C3%A2-treatment-in-end-stage-heart-failure-patients-with-functional-mitral-regurgitation
#11
Sebastian Barth, Martina B Hautmann, Sebastian Kerber, Frank Gietzen, Michael Zacher, Philipp Halbfass, Patrick Müller, Anja Schade, Thomas Deneke, Anno Diegeler, Bernhard Schieffer, Karsten Hamm
BACKGROUND: Functional mitral regurgitation (FMR) is common in patients with advanced heart failure and impaired left ventricular function. The study aim was to examine functional and hemodynamic effects at three months after MitraClip® implantation in high-risk surgical patients with FMR. METHODS: A group of 93 patients was rejected for surgical treatment by heart-team decisions due to an inacceptable risk for conventional mitral valve surgery. Between October 2011 and May 2015, 89 of these patients (96%) were treated successfully with MitraClip implantation...
July 2016: Journal of Heart Valve Disease
https://www.readbyqxmd.com/read/27999930/impact-of-baseline-tricuspid-regurgitation-on-long-term-clinical-outcomes-and-survival-after-interventional-edge-to-edge-repair-for-mitral-regurgitation
#12
Robert Schueler, Can Öztürk, Jan-Malte Sinning, Nikos Werner, Armin Welz, Christoph Hammerstingl, Georg Nickenig
AIMS: Tricuspid regurgitation (TR) in patients with mitral valve disease is associated with poor outcome and mortality. Only limited data on the impact of TR on functional outcome and survival in patients undergoing MitraClip procedures are available. METHODS AND RESULTS: 261 patients (mean age 76.6 ± 10, EuroScore 15.9 ± 15.1%) with symptomatic mitral regurgitation (MR) (75.2% functional MR) undergoing MitraClip procedure were included and followed for 721 ± 19...
December 21, 2016: Clinical Research in Cardiology: Official Journal of the German Cardiac Society
https://www.readbyqxmd.com/read/27989042/mitraclip%C3%A2-two-weeks-after-implantation
#13
Juliëtte F Velu, Hans H de Boer, Berto J Bouma, Jan Baan
A 73-year-old male received a percutaneous mitral valve repair with a MitraClip to treat severe (grade IV) symptomatic mitral regurgitation (MR). The MitraClip® procedure reduced the MR to grade I, but the patient died 14 days post-procedurally due to a pneumosepsis. Histological analysis of the MitraClip mesh covering showed a chronic inflammatory reaction with an abundance of multinucleated giant cells. Remarkably, signs of early onset clip-coverage were found, indicated by the presence of a few scattered myofibroblasts...
May 2016: Journal of Heart Valve Disease
https://www.readbyqxmd.com/read/27989041/left-atrial-and-left-ventricular-function-and-remodeling-following-percutaneous-mitral-valve-repair
#14
Christos Rammos, Tobias Zeus, Jan Balzer, Verena Veulemans, Katharina Hellhammer, Svenja Niebel, Malte Kelm, Tienush Rassaf
BACKGROUND: Mitral regurgitation causes left atrial (LA) and left ventricular (LV) dysfunction, dilatation, and remodeling. Following percutaneous mitral valve repair (PMVR) using the MitraClip® approach, reverse cardiac remodeling is desirable. To date, the influence of PMVR on LA and segmental LV function and remodeling has not been investigated in detail. METHODS: Twenty-six patients who received the MitraClip device were enrolled in an open-label, single-center observational study...
May 2016: Journal of Heart Valve Disease
https://www.readbyqxmd.com/read/27987271/previous-malignancy-is-an-independent-predictor-of-follow-up-mortality-after-percutaneous-treatment-of-mitral-valve-regurgitation-by-means-of-mitraclip
#15
Alper Öner, Hüseyin Ince, Liliya Paranskaya, Guido Schröder, Mohammad Sherif, Olga Thiele, Alla Neuhausen, Kische Stephan, Jasmin Ortak, Giuseppe D Ancona
AIMS: To investigate the prognostic burden of previously diagnosed and treated malignancies in candidates for percutaneous mitral valve repair (MVR) with MitraClip. METHODS AND RESULTS: A total of 165 patients underwent MVR and 19 (11.5%) had been previously treated for malignancy and considered healed with life expectancy over 1 year at time of percutaneous MVR. There was a significant trend for an increased overall risk profile (euroSCORE II 14.0±11.4 vs. 10...
December 16, 2016: Cardiovascular Therapeutics
https://www.readbyqxmd.com/read/27976547/invasive-hemodynamic-assessment-during-mitra-clip-implantation-should-it-be-the-new-standard
#16
Mehmet Cilingiroglu, Konstantinos Marmagkiolis
Transesophageal echocardiography (TEE) assessment after MitraClip implantation is limited by unequal orifices and jets, eccentric regurgitation, and the acute change of the annulus geometry. Periprocedural real-time invasive hemodynamic assessment of the mitral valve function requires experience in hemodynamic monitoring interpretation. However, it provides excellent accuracy as it does not take into account the changes of the mitral apparatus geometry and jet direction after MitraClip placement. While we seek to expand indications of Mitraclip to other patient subgroups, we should consider routine ancillary invasive hemodynamic assessment, in order to optimize our understanding, procedural results...
December 2016: Catheterization and Cardiovascular Interventions
https://www.readbyqxmd.com/read/27970249/tct-87-transcatheter-treatment-of-severe-tricuspid-regurgitation-using-the-mitraclip%C3%A2-system-30-day-clinical-results-in-13-consecutive-patients
#17
Jörg Hausleiter, Daniel Braun, Mathias Orban, Martin Orban, Julinda Mehilli, Andrea Englmaier, Gustavo Lima da Silva, Teppei Murata, Steffen Massberg, Michael Nabauer
No abstract text is available yet for this article.
November 1, 2016: Journal of the American College of Cardiology
https://www.readbyqxmd.com/read/27970009/tct-633-treatment-of-mitral-regurgitation-in-patients-with-severely-impaired-left-ventricular-ejection-fraction-with-the-mitraclip-system-mvarc-outcome
#18
Christian Frerker, Tobias Schmidt, Michael Schlueter, Felix Kreidel, Hannes Alessandrini, Thomas Thielsen, Dimitry Schewel, Jury Schewel, Ulrich Schaefer, Karl-Heinz Kuck
No abstract text is available yet for this article.
November 1, 2016: Journal of the American College of Cardiology
https://www.readbyqxmd.com/read/27970004/tct-629-a-simple-risk-model-to-refine-the-predictive-ability-of-the-sts-score-for-the-estimation-of-early-and-mid-term-mortality-in-patients-undergoing-mitraclip-implantation
#19
Carmelo Grasso, Buccheri Sergio, Marco Barbanti, Davide Capodanno, Antonio Popolo Rubbio, Marilena Di Salvo, Salvatore Scandura, Sarah Mangiafico, Sebastiano Imme', Sandra Giaquinta, Giuseppe Ronsivalle, Antonio Condorelli, Piera Capranzano, Corrado Tamburino
No abstract text is available yet for this article.
November 1, 2016: Journal of the American College of Cardiology
https://www.readbyqxmd.com/read/27970002/tct-627-cardiovascular-outcomes-assessment-of-mitraclip-therapy-in-heart-failure-patients-with-functional-mitral-regurgitation-the-coapt-trial-baseline-characteristics-and-preliminary-30-day-and-1-year-outcomes-of-the-roll-in-cohort
#20
Gregg Stone, William Abraham, JoAnn Lindenfeld, Neil Weissman, Steven Marx, Jeff Ellis, Lori Anne Crosson, Michael Mack
No abstract text is available yet for this article.
November 1, 2016: Journal of the American College of Cardiology
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