title: Catheter Entrapment During Posterior Mitral Leaflet Pushing Maneuver for MitraClip Implantation.
abstract: MitraClip (Abbott Vascular) therapy has been reported to be an effective procedure for mitral regurgitation, especially in high-risk patients. Recently, the novel pushing maneuver technique has been described for approaching restricted and short posterior leaflets with a pigtail catheter in order to facilitate grasping of the clip. However, complications or unexpected situations may occur. We report the case of an 84-year-old patient who underwent MitraClip implantation wherein the pushing maneuver was complicated by the clip accidentally gripping the pigtail catheter along with the two leaflets.
authors.forename: Javier
authors.initials: J
authors.lastname: Castrodeza
authors.affiliation: Hospital Clínico Universitario de Valladolid, Avenida Ramón y Cajal, 3, 47005 Valladolid, Spain. ijamat@gmail.com.
authors.forename: Ignacio J
authors.initials: IJ
authors.lastname: Amat-Santos
authors.forename: Javier
authors.initials: J
authors.lastname: Tobar
authors.forename: Luis H
authors.initials: LH
authors.lastname: Varela-Falcón
mesh_terms: D000369:Aged, 80 and over; D062906:Cardiac Catheters / Q000009:adverse effects*; D017548:Echocardiography, Transesophageal; D004868:Equipment Failure; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects* / Q000295:instrumentation; D006801:Humans; D007431:Intraoperative Complications; D008297:Male; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000175:diagnosis / Q000601:surgery*