Left femoral vein access for transcatheter mitral valve interventions in unfavorable interatrial septal anatomy. Issue 6 (17th September 2021)

• Record Type: Journal Article
• Authors: Maisano, Francesco; Russo, Giulio; Tagliari, Ana Paula; Gavazzoni, Mara; Taramasso, Maurizio
• Is Part Of: Catheterization and cardiovascular interventions. Volume 98:Issue 6(2021)
• Page Start: E971
• Page End: E976
• Publication Date: 2021-09-17
• Subjects: access site management -- left femoral vein -- MitraClip -- mitral valve percutaneous repair -- transseptal puncture -- vascular access; Heart -- Diseases -- Diagnosis -- Periodicals; Cardiac catheterization -- Periodicals; 616.1207572
• DOI: 10.1002/ccd.29950
• Languages: English
• ISSNs: 1522-1946

Abstract

Abstract: Optimal transseptal puncture (TSP) position on the interatrial septum as well as proper catheter direction and maneuverability in the left atrium (LA) are key elements for successful mitral valve (MV) interventions. TSP is usually performed from the right femoral vein being more comfortable for the operator and easier to reach the fossa ovalis. In the cases reported, TSP was performed from left femoral vein (LFV) to improve delivery system maneuverability and trajectory inside the LA in the context of MV repair with MitraClip. According to this early experience, LFV approach might be considered as first choice or as an alternative solution in patients in whom a higher position of the delivery system relative to the mitral annulus is needed.