AimsWe sought to assess the hemodynamic sequel and the therapy adopted in patients treated with MitraClip system, who experienced a persistent interatrial communication (IAC) after the procedure.MethodsFrom January 2012 to March 2013, 28 consecutive patients (mean age 74 +/- 8 years) underwent transcatheter MitraClip repair, as part of an ongoing prospective study to assess the IAC.ResultsAcute procedural success was 100% and a 30-days survival of 97% was reported. Immediately after the procedure, a residual IAC was present in all patients with an average diameter of 0.51 +/- 0.39 cm. At 30 days, IAC was detected in 81% of patients with a diameter of 0.45 +/- 0.31 cm (P = 0.53). To date, three patients developed different hemodynamic impairment secondary to the residual IAC, requiring percutaneous closure of the defect.ConclusionAnatomic and hemodynamic criteria for early recognition of harmful residual IAC have to be identified, in order to select those patients who are benefited the most from atrial septal defect closure.

Ussia, G.p., Cammalleri, V., Marchei, M., Sergi, D., De Vico, P., Muscoli, S., et al. (2014). Hemodynamic patterns of residual interatrial communication after transcatheter MitraClip repair. JOURNAL OF CARDIOVASCULAR MEDICINE, 15(4), 343-349 [10.2459/JCM.0000000000000006].

Hemodynamic patterns of residual interatrial communication after transcatheter MitraClip repair

Ussia, Gian Paolo;Cammalleri, Valeria;Sergi, Domenico;De Vico, Pasquale;Muscoli, Saverio;Romeo, Francesco
2014-04-01

Abstract

AimsWe sought to assess the hemodynamic sequel and the therapy adopted in patients treated with MitraClip system, who experienced a persistent interatrial communication (IAC) after the procedure.MethodsFrom January 2012 to March 2013, 28 consecutive patients (mean age 74 +/- 8 years) underwent transcatheter MitraClip repair, as part of an ongoing prospective study to assess the IAC.ResultsAcute procedural success was 100% and a 30-days survival of 97% was reported. Immediately after the procedure, a residual IAC was present in all patients with an average diameter of 0.51 +/- 0.39 cm. At 30 days, IAC was detected in 81% of patients with a diameter of 0.45 +/- 0.31 cm (P = 0.53). To date, three patients developed different hemodynamic impairment secondary to the residual IAC, requiring percutaneous closure of the defect.ConclusionAnatomic and hemodynamic criteria for early recognition of harmful residual IAC have to be identified, in order to select those patients who are benefited the most from atrial septal defect closure.
apr-2014
Pubblicato
Rilevanza internazionale
Articolo
Esperti anonimi
Settore MED/11 - MALATTIE DELL'APPARATO CARDIOVASCOLARE
English
shunt
mitral valve disease
edge-to-edge repair
atrial septal defect
Ussia, G.p., Cammalleri, V., Marchei, M., Sergi, D., De Vico, P., Muscoli, S., et al. (2014). Hemodynamic patterns of residual interatrial communication after transcatheter MitraClip repair. JOURNAL OF CARDIOVASCULAR MEDICINE, 15(4), 343-349 [10.2459/JCM.0000000000000006].
Ussia, Gp; Cammalleri, V; Marchei, M; Sergi, D; De Vico, P; Muscoli, S; Sarkar, K; Romeo, F
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2108/315103
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