Pushing with the pigtail: A novel approach to placing the MitraClip in a patient with a severely restricted posterior mitral leaflet. Issue 5 (22nd August 2014)

• Record Type: Journal Article
• Authors: Jones, Brandon M.; Tuzcu, E. Murat; Kapadia, Samir R.
• Is Part Of: Catheterization and cardiovascular interventions. Volume 85:Issue 5(2015:Apr. 01)
• Page Start: 906
• Page End: 908
• Publication Date: 2014-08-22
• Subjects: mitral valve insufficiency -- structural heart disease interventions -- mitral valve interventions; Heart -- Diseases -- Diagnosis -- Periodicals; Cardiac catheterization -- Periodicals; 616.1207572
• DOI: 10.1002/ccd.25634
• Languages: English
• ISSNs: 1522-1946

Abstract

Abstract : The MitraClip is an US Food and Drug Administration‐approved device for inoperable patients with severe degenerative mitral regurgitation (MR) and is under investigation for use in patients with severe functional MR. Simultaneously grasping both leaflets of the mitral valve can be technically challenging, however, in patients with a restricted posterior leaflet. We present one such case in which a pigtail catheter, placed retrograde into the left ventricle, was able to push the ventricular surface of the posterior leaflet into closer approximation with the anterior leaflet, and facilitate successful clip placement. We provide this report in hopes that it will provide a useful strategy for interventionalists faced with this challenging situation. © 2014 Wiley Periodicals, Inc.