MitraClip Deployed via Left Femoral Vein in an 85-Year-Old Woman with Mitral Regurgitation

被引:1
|
作者
Edupuganti, Mohan Mallikarjuna Rao [1 ,3 ]
Mutlu, Deniz [1 ,5 ]
Mego, David M. [1 ]
Marmagkiolis, Kostas [1 ,4 ]
Cilingiroglu, Mehmet [1 ,2 ,6 ,7 ]
机构
[1] Arkansas Heart Hosp, Dept Intervent Cardiol, Little Rock, AR 72211 USA
[2] Koc Univ, Sch Med, TR-34450 Istanbul, Turkey
[3] Univ Arkansas Med Sci, Sch Med, Little Rock, AR 72205 USA
[4] Citizens Mem Hosp, Bolivar, MO USA
[5] Istanbul Univ, Cerrahpasa Fac Med, Istanbul, Turkey
[6] Bahcesehir Univ, Sch Med, Istanbul, Turkey
[7] UT Hlth, San Antonio, TX USA
来源
TEXAS HEART INSTITUTE JOURNAL | 2019年 / 46卷 / 03期
关键词
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; TASK-FORCE; ACCESS; MANAGEMENT;
D O I
10.14503/THIJ-17-6546
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
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.
引用
收藏
页码:195 / 198
页数:4
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