title: Late MitraClip procedure after left atrial appendage occlusion: indication and procedure description.
abstract: We report the first human case of percutaneous edge-to-edge mitral valve repair using MitraClip System (Abbott Vascular, Abbott Park, IL) in a patient, who previously underwent left atrial appendage closure with PLAATO™ System (ev3. Inc., Plymouth, MN). The procedure was successfully performed using the standard MitraClip technique, in the catheterization laboratory, with transesophageal echocardiographic and fluoroscopic guidance. We showed that a double percutaneous procedure for stroke prevention and mitral regurgitation treatment might be a valid approach in selected patients ineligible for chronic anticoagulation therapy and at high risk for conventional cardiac surgery.
authors: Division of Cardiology, Ferrarotto Hospital, University of Catania, Catania, Italy.
authors: Valeria
authors: V
authors: Cammalleri
authors: Salvatore
authors: S
authors: Scandura
authors: Corrado
authors: C
authors: Tamburino
authors: Gian Paolo
authors: GP
authors: Ussia
mesh_terms: D000368:Aged; D020517:Atrial Appendage / Q000503:physiopathology*; D001281:Atrial Fibrillation / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D006328:Cardiac Catheterization / Q000295:instrumentation*; D018618:Echocardiography, Doppler, Color; D019560:Echocardiography, Three-Dimensional; D017548:Echocardiography, Transesophageal; D004867:Equipment Design; D005260:Female; D005471:Fluoroscopy; D006801:Humans; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000503:physiopathology*; D008944:Mitral Valve Insufficiency / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D015641:Radiography, Interventional / Q000379:methods; D020521:Stroke / Q000209:etiology / Q000517:prevention & control; D013525:Surgical Instruments; D016896:Treatment Outcome
keywords: left atrial appendage closure; trans-septal catheterization; valvular heart disease