Percutaneous edge-to-edge repair of the mitral valve has been shown to be a safe and effective alternative treatment option for selected patients at high risk for cardiac surgery. Patients with recurrent mitral regurgitation after surgical mitral valve repair (sMVR) are per se at increased risk for another cardiac surgery. The purpose of this multicenter retrospective analysis of patients treated with a MitraClip® after sMVR, is to evaluate the effectiveness and durability of this minimally invasive treatment option in this subset of patients.
In this multicenter retrospective analysis of MitraClip® cases after MVR the effectiveness and durability of this minimally invasive treatment option in this subset of patients will be evaluated.
Study Type
OBSERVATIONAL
Enrollment
30
MitraClip in patients with recurrent MI after surgical mitral valve repair.
Munich University Hospital
Munich, Bavaria, Germany
RECRUITINGSurvival
Time frame: 1 year
MR (mitral regurgitation) grade after clip treatment
Scale 0-4
Time frame: 1 year
MR (mitral regurgitation) grade at latest follow up
Scale 0-4
Time frame: 1 year
NYHA status at latest follow up
Time frame: 1 year
Distance in 6 minute walk test at latest follow up
Time frame: 1 year
LVEF (left ventricular ejection fraction) at latest follow up
Time frame: 1 year
LVEDV (left ventricular enddiastolic volume) at latest follow up
Time frame: 1 year
LVEDD (lef ventricular enddiastolic diameter) at latest follow up
Time frame: 1 year
Mean mitral valve gradient
Time frame: 1 year
Procedural complications
Time frame: index procedure
Death, recurrent mitral regurgitation grade > 2, repeat intervention/operation of mitral valve
combined endpoint defined as freedom from each Event (death, MR grade \>2 or reintervention/Operation)
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Time frame: 1 year
Clip success based on type of sMVR
success defined as reduction of 1 MR grade (scale 0-4)
Time frame: index procedure