TEER for primary mitral regurgitation - LIVE case

Step-by-step implantation of 1 MitraClip

Operators: P. Lurz, T. Ruf
Procedural Analyst: S. Dawkins
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Summary

A 76-year-old male, with previous CABG in 2015, hypertension, diabetes, and pulmonary hypertension (WHO2), presented with severe symptomatic primary MR (P3 flail).
The operators implanted 1 MitraClip (XTW) step-by-step, from the transseptal puncture to the closure, guided by TEE echo and under general anaesthesia, via the venous transfemoral approach.

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LIVE Educational Case from University Medical Center, Mainz - Germany

Key moments

  • 03:20-05:56 - Imaging analysis
  • 15:20-21:01 - Trans septal punction
  • 35:45-47:29 - Step-by-step MitraClip implantation

Keywords: Primary MR, Transeptal punction, venous femoral closure, mitraclip, XTW

Learning Objectives

  • To review the procedural strategies to achieve the best possible outcome for this patient
  • To learn how to perform a state-of-the-art M-TEER procedure in contemporary practice
  • To appreciate the challenges of decision making during a M-TEER procedure and the Heart team approach

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  • Patient presentation