Echocardiographic guidance and assessment of percutaneous repair for mitral regurgitation with the Evalve MitraClip: lessons learned from EVEREST I. Academic Article uri icon

Overview

abstract

  • OBJECTIVE: Percutaneous mitral repair is rapidly developing as an alternative to cardiac surgery in select patients. The Evalve percutaneous E2E system uses the MitraClip to replicate the surgical suture-based approach. This procedure requires real-time echocardiographic guidance in a unique and significant collaboration between echocardiographer and interventionalist. transesophageal echocardiography (TEE) is used as the primary imaging modality to guide this procedure and is essential to its success. METHODS: In EVEREST I, the US multicenter phase I safety and feasibility trial, 47 patients with 3 or 4+ mitral regurgitation (MR) were enrolled. The trial involved a standardized echocardiographic imaging protocol with a standardized anatomic-based vocabulary, predetermined standard TEE views, preprocedural strategy meetings, and display of echocardiographic aids to optimize communication and procedural efficiency during placement of the clip. RESULTS: TEE guidance facilitated the creation of a double-orifice mitral valve in all 47 patients enrolled (100%), and 40 patients were discharged with 1 or more clips (85%). At discharge, successful placement of a clip and

publication date

  • June 13, 2007

Research

keywords

  • Cardiac Surgical Procedures
  • Echocardiography, Doppler, Color
  • Echocardiography, Transesophageal
  • Mitral Valve Insufficiency

Identity

Scopus Document Identifier

  • 34748877741

Digital Object Identifier (DOI)

  • 10.1016/j.echo.2007.02.003

PubMed ID

  • 17570634

Additional Document Info

volume

  • 20

issue

  • 10