Transcatheter Electrosurgical Laceration and Stabilization of Failed MitraClip[s]/SAPIEN M3 for Treatment of Failed MitraClip

• Type of Material: Article
• Authors: Errol Inci, Emory University; Adam Greenbaum, Emory University; Robert Lederman, Emory University; Keshav Kohli, Georgia Tech and Emory University; John Lisko, Emory University; Isida Byku, Emory University; Patrick Gleason, Emory University; Joe Xie, Emory University; Nikoloz Shekiladze, Emory University; Vasilis Babaliaros, Emory University
• Language: English
• Date: 2022-05-01
• Publisher: LIPPINCOTT WILLIAMS & WILKINS
• Publication Version: Author Accepted Manuscript (After Peer Review)
• Copyright Statement: © 2022 American Heart Association, Inc.
• Final Published Version (URL): http://dx.doi.org/10.1161/CIRCINTERVENTIONS.122.012014
• Title of Journal or Parent Work: CIRCULATION-CARDIOVASCULAR INTERVENTIONS
• Volume: 15
• Issue: 5
• Start Page: 455
• End Page: 457
• Grant/Funding Information: This research was supported by Emory Structural Heart and Valve program intramural funds and by National Institutes of Health grant Z01-HL006040.
• Keywords: heart failure; hypotension; echocardiography; Life Sciences & Biomedicine; Science & Technology; mitral valve; Cardiovascular System & Cardiology; VALVE-REPLACEMENT; Cardiac & Cardiovascular Systems; lacerations

Abstract

There are few satisfactory options to treat residual or recurrent mitral regurgitation (MR) with or without concomitant mitral stenosis following transcatheter edge-to-edge repair (TEER) (1). Electrosurgical laceration and stabilization of failed MitraClip[s] (Abbott) (ELASTA-Clip) by electrosurgical detachment of clip(s) from the anterior leaflet, enables transcatheter mitral valve replacement (TMVR) (2). To date ELASTA-Clip has been reported only with hybrid surgical transapical Tendyne valve implantation (Abbott). Tendyne/ELASTA-clip is often technically successful but clinically disappointing in part, we hypothesize, because of the morbidity of surgical transapical access with adverse periprocedural events and prolonged recovery (3). Herein, we describe a fully percutaneous ELASTA-Clip using an investigational M3 Valve (Edwards).