1. MitraClip Deployed via Left Femoral Vein in an 85-Year-Old Woman with Mitral Regurgitation
- Author
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Deniz Mutlu, David Mego, Mehmet Cilingiroglu, Kostas Marmagkiolis, Mohan Mallikarjuna Rao Edupuganti, Çilingiroğlu, Mehmet, Edupuganti, Mohan Mallikarjuna Rao, Mutlu, Deniz, Mego, David M., Marmagkiolis, Kostas, School of Medicine, Department of Cardiology, and İÜC, Cerrahpaşa Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü
- Subjects
medicine.medical_specialty ,heart failure/therapy ,Femoral vein ,Case Reports ,heart valve prosthesis implantation/methods ,030204 cardiovascular system & hematology ,03 medical and health sciences ,cardiac catheterization/instrumentation/standards ,0302 clinical medicine ,Medicine ,Cardiac and cardiovascular systems ,Mitral valve ,medicine ,Aged, 80 and over ,Balloon valvuloplasty/ methods ,Cardiac catheterization/ instrumentation/ standards ,Femoral vein/ surgery ,Heart failure/ therapy ,Heart valve diseases/ complications ,Heart valve prosthesis implantation/ methods ,Mitral valve insufficiency/ therapy ,Punctures/ methods ,Treatment outcome ,In patient ,030212 general & internal medicine ,punctures/methods ,Mitral regurgitation ,balloon valvuloplasty/methods ,femoral vein/surgery ,business.industry ,MitraClip ,Open surgery ,heart valve diseases/complications ,Blood flow ,Surgery ,medicine.anatomical_structure ,Left femoral vein ,treatment outcome ,cardiovascular system ,Cardiology and Cardiovascular Medicine ,business ,mitral valve insufficiency/therapy - Abstract
The MitraClip system can be used to control regurgitant blood flow in patients with mitral regurgitation who cannot tolerate open surgery to replace the mitral valve. Technical limitations make the right femoral vein the standard access point for placing the MitraClip. However, this route is not always suitable. We present the case of an 85-year-old woman in whom we successfully used a left-sided approach for inserting a MitraClip because her right femoral vein was occluded. This apparently novel left femoral approach merits consideration as an option for device insertion when right femoral vein access is precluded., NA
- Published
- 2019