Contents:

Mitral Valve Anatomy and Current Surgical and Percutaneous Approaches to Mitral Regurgitation

Device Description and Procedural Overview

Room Setup

Summary of MitraClip Clinical Data and Approach to Patient Selection

Echocardiographic Evaluation of Patients Before and After MitraClip Mitral Valve Repair

MitraClip Procedural Echocardiography

Transseptal Puncture

Venous Access Management

Interatrial Septal Tear A Rare Complication During MitraClip Procedure and Successful Transcatheter Closure

Percutaneous DoubleValve Treatment in a Patient with Degenerative Aortic Stenosis and Functional Mitral Regurgitation

Percutaneous Mitral Valve Repair After Previous Mitral Valve Reconstruction

Case Examples 1 Delayed Functional Mitral Regurgitation in a High Risk Patient and 2 Complex Degenerative Mitral Regurgitation Anterior Leaflet ...

Severe Functional Mitral Regurgitation with Missing Leaflet Coaptation

Severe Ischemic Heart Failure with Functional Improvement After MitraClip Therapy

Severe LefttoRight Shunting from Iatrogenic Atrial Septal Defect

MitraClip Implantation in Chronic Degenerative Mitral Regurgitation with Extensive Calcification

Hemodynamic Perspectives of EdgetoEdge Mitral Valve Repair

Situational Steering Techniques

MitraClip Basic Degenerative Case

EVEREST II Basic Functional Case Study

Barlows Disease

EVEREST II Case Study Large Left Atrium

Approach to Mitral Regurgitation Requiring Multiple MitraClips

Case Example Two Clips

EVEREST II Delayed Second Clip for Early Recurrent MR

Secondary Mitral Regurgitation Due to Ischemic Mitral Valve Disease and Mild Rheumatic Mitral Valve Disease

The Dilemma of Reducing Functional Mitral Regurgitation Versus Development of Mitral Stenosis

Infective Endocarditis Associated with the MitraClip

EVEREST II MitraClip After Failed Surgical Mitral Valve Repair

EVEREST II Functional Mitral Regurgitation

Chiari Network Complicating a MitraClip Procedure

EVEREST II Two MitraClip Procedure with Partial Detachment of Second Device

MitraClip Procedure in Unusual Heart Position

3D Transesophageal EchoGuided MitraClip Treatment of P3 Mitral Valve Prolapse

Failure and Complications of MitraClip Implantation for Severe Functional Mitral Regurgitation A Combination of Unexpected Findings and Early E...

Mitral Valve Repair Using the MitraClip System in a Patient with Severe Mitral Regurgitation in the A3P3 Region due to Chordae Rupture During Tr...

MitraClip Implantation in a Patient with Severe Mitral Annular Calcification and a Small Orifice Area

Functional Mitral Regurgitation Treatment with MitraClip Difficult Transseptal Puncture with Anterior Approach Complicated by Right Atrial Throm...

MitraClip in a Patient with Dextrocardia and Scoliosis Complicated by Delayed Clip Detachment

Massive Air Embolism During MitraClip Insertion

The Degree and Type of Mitral Regurgitation Present at the Baseline Is Not Always a Good Predictor of the Procedural Technical Needs or of the Fin...

Functional Mitral Regurgitation with a Wide Extension of the Central Regurgitant Jet

Percutaneous EdgetoEdge Mitral Valve Repair for Functional Mitral Regurgitation in a HighSurgicalRisk Patient

Mitral Stenosis After MitraClip Therapy and a Partial Solution for Treatment

MitraClip Therapy for Functional Mitral Regurgitation Importance of Jet Localization to Direct MitraClip Placement

MitraClip Acute Thrombus Formation During Guide Insertion

MitraClip Placement in a Patient with Severe Kyphoscoliosis and Bileaflet Prolapse

Index

The field of structural heart disease interventions is experiencing a stage of rapid growth with the development of percutaneous mitral valve repair therapies and percutaneous aortic valve replacement therapies. The MitraClip represents a new therapeutic frontier for mitral regurgitation and is expected to revolutionize repair of the mitral valve. For the first time in the world, physicians now have the capability to repair the mitral valve percutaneously without the need for a sternotomy or cardiopulmonary bypass. However, as with all new endeavors, there is a steep learning curve, not just for the individual operator but also for the entire field. The MitraClip technology and technique is technically complex and is guided by echocardiography and fluoroscopy. It is an imaging intensive procedure that requires deep 3-dimensional understanding of normal and abnormal cardiac anatomy. Not all mitral regurgitation cases are suitable and not all cases are straightforward. It is therefore crucially important for physicians in this specialty to communicate their experience, successes, failures and complications with each other.

Written by the leaders in this breakthrough field, the Atlas of Percutaneous Edge-to-Edge Mitral Valve Repair is the first of its kind for the new percutaneous MitraClip procedure. The Editors have designed the book to be a comprehensive reference manual and to provide cardiologists with true examples of basic and complex cases of percutaneous mitral valve repair using the technology. In addition, this book provides step-by-step guides to the procedure and complications as well as steps to recover from them are discussed. The Atlas is anticipated to be a very valuable reference for both novice and experienced interventional cardiologists and echocardiologists. As percutaneous valve repair becomes more common it will also be of great interest to general cardiologists and surgeons.