title: Simultaneous double clipping delivery guide strategy for treatment of severe coaptation failure in functional mitral regurgitation.
abstract: We report on a novel treatment strategy using two clip delivery systems (CDS) simultaneously, after double transseptal puncture, for treatment of severe functional mitral regurgitation. Both CDS were used to titrate for an optimal result in a patient with a severe coaptation gap of both mitral leaflets. The patient was successfully treated with two MitraClips. Thus, even a contraindication for MitraClip can be overcome with a more complex double guide intervention.
authors.affiliation: Department of Cardiology, Asklepios Clinics Sankt Georg, Hamburg, Germany. Electronic address: u.schaefer@uke.de.
authors.forename: Ulrich
authors.initials: U
authors.lastname: Schaefer
authors.affiliation: Department of Cardiology, Asklepios Clinics Sankt Georg, Hamburg, Germany.
authors.forename: Christian
authors.initials: C
authors.lastname: Frerker
authors.affiliation: Department of Cardiology, Asklepios Clinics Sankt Georg, Hamburg, Germany.
authors.forename: Felix
authors.initials: F
authors.lastname: Kreidel
mesh_terms: D000368:Aged; D006348:Cardiac Surgical Procedures / Q000295:instrumentation* / Q000379:methods*; D006801:Humans; D008297:Male; D008944:Mitral Valve Insufficiency / Q000601:surgery*
keywords: Coaptation failure; Haemodynamics; MitraClip; Severe mitral regurgitation; Simultaneous double clipping approach; Transseptal puncture