Repeat Mitral Valve Interventions After Failed Transcatheter Edge-to-Edge Repair With MitraClip

Mitral valve (MV) transcatheter edge-to-edge repair (MTEER) is recommended for patients with either severe degenerative mitral regurgitation (MR) who are prohibitive or high-risk for surgery, or those with severe functional MR despite optimal guideline-directed medical therapy. 1 Otto CM Nishimura RA Bonow RO Carabello BA Erwin 3rd, JP Gentile F Jneid H Krieger EV Mack M McLeod C O'Gara PT Rigolin VH Sundt 3rd, TM Thompson A Toly C Writing Committee Members2020 ACC/AHA guideline for the management of patients with valvular heart disease: executive summary: a report of the American College of Cardiology/American Heart Association joint committee on clinical practice guidelines. J Am Coll Cardiol. 2021; 77: 450-500 Crossref PubMed Scopus (414) Google Scholar , 2 Elbadawi A Elgendy IY Afify H Eid M Hamed M Abowali HA Kleiman NS Reardon MJ Kapadia SR Goel SS Combined transcatheter aortic and mitral valve interventions: insights from a national database. JACC Cardiovasc Interv. 2021; 14: 1505-1507 Crossref PubMed Scopus (5) Google Scholar Accordingly, there has been an increase in the number of MTEER procedures; 3 Elbadawi A Elgendy IY Mohamed AH Almahmoud MF Omer M Abuzaid A Mahmoud K Ogunbayo GO Denktas A Paniagua D Banerjee S Jneid H. Temporal trends and outcomes of transcatheter mitral valve repair and surgical mitral valve intervention. Cardiovasc Revasc Med. 2020; 21: 1560-1566 Crossref Scopus (9) Google Scholar however, there is a paucity of data regarding the need for short-term repeat MV interventions after MTEER. Thus, we conducted this study to investigate the incidence of repeat MV interventions within 90 days after a MTEER procedure.