Publication:
Complications of the Percutaneous Mitral Valve Edge-To-Edge Repair: Role of Transesophageal Echocardiography.

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Date

2022-08-11

Authors

Flores, Guisela
Mesa, Dolores
Ojeda, Soledad
de Lezo, Javier Suarez
Gonzalez-Manzanares, Rafael
Dueñas, Guillermo
Pan, Manuel

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MDPI
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Abstract

The use of transcatheter edge-to-edge repair for the treatment of mitral regurgitation has markedly increased in the last few years. The rate of adverse events related to the procedure is low; however, some of the complications that may occur are potentially dangerous. Due to the growing popularity of the technique, which is no longer limited to high-volume centers, knowledge of the complications related to the procedure is fundamental. Transesophageal echocardiography has a key role in the guidance of the intervention while allowing for the avoidance of most of these adverse events, as well as enabling us to diagnose them early. In this article, we review the main complications that might present during a transcatheter mitral edge-to-edge repair procedure (tamponade, thromboembolic events, single leaflet device attachment, device embolization, vascular injury…) while highlighting key aspects of transesophageal echocardiographic monitoring in the prevention and prompt diagnosis of these complications.

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MeSH Terms

Mitral valve insufficiency
Echocardiography, transesophageal
Vascular system injuries
Embolization, therapeutic
Vascular surgical procedures
Thromboembolism

DeCS Terms

Ecocardiografía transesofágica
Embolización terapéutica
Insuficiencia de la válvula mitral
Lesiones del sistema vascular
Procedimientos quirúrgicos vasculares
Tromboembolia

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Keywords

Complications, Edge-to-edge repair, Mitral regurgitation

Citation

Flores G, Mesa D, Ojeda S, de Lezo JS, Gonzalez-Manzanares R, Dueñas G, et al. Complications of the Percutaneous Mitral Valve Edge-To-Edge Repair: Role of Transesophageal Echocardiography. J Clin Med. 2022 Aug 14;11(16):474