title: Percutaneous Tricuspid Valve Regurgitation Repair With the MitraClip Device Using an Edge-to-Edge Bicuspidization Technique.
abstract: Patients who present with both severe mitral and tricuspid regurgitation who are symptomatic despite optimal medical therapy and at prohibitive risk for surgery pose a significant therapeutic challenge. The MitraClip device (Abbott Vascular) is approved for percutaneous mitral valve repair in high-risk and non-operative patients, and has also been used for tricuspid valve repair. Imaging support for percutaneous edge-to-edge tricuspid valve repair has not been reported and is a vital part of the procedure. Here, we present a periprocedural imaging strategy for percutaneous tricuspid valve repair with the MitraClip device using a bicuspidization technique.
authors.affiliation: Department of Cardiology, Swedish Heart and Vascular Institute, Swedish Medical Center, 550 E. 17th Ave, Suite #680, Seattle, WA, 98122 USA. sameergafoor@gmail.com.
authors.forename: Sameer
authors.initials: S
authors.lastname: Gafoor
authors.forename: O Madalina
authors.initials: OM
authors.lastname: Petrescu
authors.forename: Eric J
authors.initials: EJ
authors.lastname: Lehr
authors.forename: Charles
authors.initials: C
authors.lastname: Puls
authors.forename: Ming
authors.initials: M
authors.lastname: Zhang
authors.forename: John L
authors.initials: JL
authors.lastname: Petersen
authors.forename: John V
authors.initials: JV
authors.lastname: Olsen
authors.forename: Irina
authors.initials: I
authors.lastname: Penev
authors.forename: Mayank
authors.initials: M
authors.lastname: Agrawal
authors.forename: Rahul
authors.initials: R
authors.lastname: Sharma
authors.forename: Glenn
authors.initials: G
authors.lastname: Barnhart
mesh_terms: D000368:Aged; D057791:Cardiac Imaging Techniques; D004867:Equipment Design; D005260:Female; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000295:instrumentation / Q000379:methods; D006801:Humans; D008943:Mitral Valve / Q000000981:diagnostic imaging* / Q000601:surgery; D008944:Mitral Valve Insufficiency / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D019990:Perioperative Care / Q000379:methods; D020379:Risk Adjustment / Q000379:methods; D012720:Severity of Illness Index; D016896:Treatment Outcome; D014261:Tricuspid Valve / Q000000981:diagnostic imaging* / Q000601:surgery; D014262:Tricuspid Valve Insufficiency / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery