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Possible Transmitral Pressure Gradient Elevation in MitraClip XTR

descriptionPublicationkeyboard_double_arrow_right Article 01 Apr 2019 Switzerland, Italy English Publisher:Elsevier BVJournal:Canadian Journal of Cardiology, volume 35, pages 544,000,000,000,000,000-54,400,000,000,000,000,000 (issn: 0828-282X, Copyright policy )
Authors: Miura M; Gavazzoni M; Taramasso M; Maisano F;

doi: 10.1016/j.cjca.2019.01.024

pmid: 30935648

handle: 20.500.11768/129871

Possible Transmitral Pressure Gradient Elevation in MitraClip XTR

Abstract

A 74-year-old man presented with dyspnea due to severe mitral regurgitation (MR) caused by rupture of the chordae tendineae. Percutaneous edge-to-edge mitral valve repair was performed using the MitraClip system (Abbott Vascular, Santa Clara, CA). After leaflet grasping via an XTR clip, transesophageal echocardiography (TEE) revealed marked reduction of MR, but elevation of the transmitral gradient was detected no matter how the position of grasping was changed. Finally, we replaced the XTR to the NTR system. After leaflet grasping via an NTR clip, TEE revealed marked reduction of MR from severe to mild and an adequate transmitral gradient.

Countries
Switzerland, Italy
Related Organizations
Keywords

Male, Humans, Mitral Valve, Mitral Valve Insufficiency, 610 Medicine & health, Prostheses and Implants, 2705 Cardiology and Cardiovascular Medicine, Echocardiography, Transesophageal, 10020 Clinic for Cardiac Surgery, Aged

  • BIP!
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    selected citations
    These citations are derived from selected sources.
    This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    		 5
    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    		 Average
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    		 Average
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    		 Top 10%
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
5
Average
Average
Top 10%