Atlas of Percutaneous Edge-to-Edge Mitral Valve Repair

Foreword.–  Introduction.– Mitral Valve Anatomy and Current Surgical and Percutaneous Approaches to Mitral Regurgitation.– Device description and procedural overview. – Room Set-up.– 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.- Hemodynamic perspectives of edge-to-edge mitral valve repair.- Situational Steering Techniques.- Case example: EVEREST II: Basic Degenerative.– Case example: EVEREST II: Basic Functional.– Case example: Barlow’s disease.- Case example: EVEREST II : Large left atrium.- Case example: Approach to Mitral Regurgitation requiring multiple MitraClips.- Case example: Two Clips.– Case example: EVEREST II: Delayed second clip for early recurrent mitral regurgitation.– Case example: Secondary mitral regurgitation due to ischaemic mitral valve disease and mild rheumatic mitral valve involvement.– Case example: The dilemma of reducing functional mitral regurgitation versus development of mitral stenosis.– Case example: Infective endocarditis associated with the Mitraclip.- Case example: EVEREST II: MitraClip after failed surgical mitral valve repair.– Case example: EVEREST II: Functional Mitral Regurgitation.– Case example: Chiari Network Complicating a MitraClip Procedure.– Case example: EVEREST II: Two MitraClip Procedure with Partial Detachment of Second Device.- Case example: Mitraclip Procedure in Unusual Heart Position.- Interatrial Septal Tear: A rare complication during MitraClip procedure and successful transcatheter closure.– Case example: Percutaneous double-valve treatment in a patient with degenerative aortic stenosis and functional mitral regurgitation.- Case example: Percutaneous mitral valve repair after previous mitral valve reconstruction.- Case example: Delayed functional MitralRegurgitation in high risk patients and Complex degenerative mitral regurgitation (anterior leaflet prolapsed) with commissural impingement.- Case example: Severe functional mitral regurgitation with missing leaflet coaptation.- Case example: Severe Ischemic Heart Failure with Functional Improvement After MitraClip Therapy.- Case example: Severe left-to-right shunting from iatrogenic atrial septal defect.- Case example: MitraClip implantation in chronic degenerative mitral regurgitation with extensive calcification.- Case example: 3D Transesophageal Echo Guided MitraClip Treatment of P3 Mitral Valve Prolapse.- Case example: Failure and complications of a MitraClip implantation for severe functional mitral regurgitation: a combination of unexpected findings and early experience.- Case example: Mitral valve repair using the MitraClip system in a patient with severe mitral regurgitation in the A3/P3 region due to chordae rupture during transapical TAVI.- Case example: MitraClip implantation in a patient with severe mitral annulus calcifications and a small orifice area.– Case example: Functional Mitral Regurgitation treatment with Mitraclip: Difficult transseptal puncture with anterior approach complicated by right atrial thrombus.- Case example: MitraClip in a patient with dextrocardia and scoliosis complicated by delayed clip detachment.– Case example: Massive air embolism during MitraClip insertion.- Case example: The degree and type of mitral regurgitation present at the baseline is not always a good predictor of the procedural technical needs and of the final result.- Case example: Functional mitral regurgitation with a wide extension of the central regurgitant jet.- Case example: Percutaneous edge-to-edge mitral valve repair for functional mitral regurgitation in a high surgical risk patient.- Case example: Mitral stenosis after MitraClip therapy and a partial solution for treatment.- Case Example: MitraClip Therapy for Functional Mitral Regurgitation:Importance of jet localization to direct MitraClip placement.- Case Example: MitraClip: Acute thrombus formation during guide insertion.- MitraClip Placement in a Patient with Severe Kyphoscoliosis and Bileaflet Prolapse.