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Pushing with the pigtail: A novel approach to placing the M itra C lip in a patient with a severely restricted posterior mitral leaflet
Author(s) -
Jones Brandon M.,
Tuzcu E. Murat,
Kapadia Samir R.
Publication year - 2015
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.25634
Subject(s) - medicine , mitraclip , ventricle , leaflet (botany) , mitral regurgitation , food and drug administration , mitral valve , functional mitral regurgitation , surgery , cardiology , heart failure , ejection fraction , environmental health , paleontology , biology
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.