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

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...

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Autores principales: Flores, Guisela, Mesa, Dolores, Ojeda, Soledad, de Lezo, Javier Suárez, Gonzalez-Manzanares, Rafael, Dueñas, Guillermo, Pan, Manuel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9410310/
https://www.ncbi.nlm.nih.gov/pubmed/36012985
http://dx.doi.org/10.3390/jcm11164747
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author Flores, Guisela
Mesa, Dolores
Ojeda, Soledad
de Lezo, Javier Suárez
Gonzalez-Manzanares, Rafael
Dueñas, Guillermo
Pan, Manuel
author_facet Flores, Guisela
Mesa, Dolores
Ojeda, Soledad
de Lezo, Javier Suárez
Gonzalez-Manzanares, Rafael
Dueñas, Guillermo
Pan, Manuel
author_sort Flores, Guisela
collection PubMed
description 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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spelling pubmed-94103102022-08-26 Complications of the Percutaneous Mitral Valve Edge-To-Edge Repair: Role of Transesophageal Echocardiography Flores, Guisela Mesa, Dolores Ojeda, Soledad de Lezo, Javier Suárez Gonzalez-Manzanares, Rafael Dueñas, Guillermo Pan, Manuel J Clin Med Review 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. MDPI 2022-08-14 /pmc/articles/PMC9410310/ /pubmed/36012985 http://dx.doi.org/10.3390/jcm11164747 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Flores, Guisela
Mesa, Dolores
Ojeda, Soledad
de Lezo, Javier Suárez
Gonzalez-Manzanares, Rafael
Dueñas, Guillermo
Pan, Manuel
Complications of the Percutaneous Mitral Valve Edge-To-Edge Repair: Role of Transesophageal Echocardiography
title Complications of the Percutaneous Mitral Valve Edge-To-Edge Repair: Role of Transesophageal Echocardiography
title_full Complications of the Percutaneous Mitral Valve Edge-To-Edge Repair: Role of Transesophageal Echocardiography
title_fullStr Complications of the Percutaneous Mitral Valve Edge-To-Edge Repair: Role of Transesophageal Echocardiography
title_full_unstemmed Complications of the Percutaneous Mitral Valve Edge-To-Edge Repair: Role of Transesophageal Echocardiography
title_short Complications of the Percutaneous Mitral Valve Edge-To-Edge Repair: Role of Transesophageal Echocardiography
title_sort complications of the percutaneous mitral valve edge-to-edge repair: role of transesophageal echocardiography
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9410310/
https://www.ncbi.nlm.nih.gov/pubmed/36012985
http://dx.doi.org/10.3390/jcm11164747
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