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MitraClip XTR Implantation for a Calcified Leaflet

09/30/2020

Video Supplement to “Which is the Best Option in Calcified Leaflets? MitraClip NTR or XTR?” by Lin, et al. (October 2020 Clinical Images).

An 89-year-old man presented with dyspnea (NYHA class IV). He had undergone coronary artery bypass graft and surgical aortic valve replacement. The following imaging series demonstrates severe mitral regurgitation with flail anterior leaflet and calcified posterior leaflet. Subsequent treatment with transcatheter edge-to-edge repair using the MitraClip NTR clip; the result was suboptimal, so the device was retrieved and an XTR clip was implanted in the same position, with a good final result.


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The study population consisted of 414,649 patients. Of those, 53,398 patients received an embolic protection device. This is the largest study to date among patients undergoing a transcatheter aortic valve replacement.
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