ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
The short-term outcomes of MitraClip implantation: single-center experience in Turkey
Hale Ünal Aksu1, Nevzat Uslu1, Hüseyin Aksu1, Ömer Faruk Baycan1, Mehmet Ertürk1, Abdurrahman Eksik1, Mehmet Gül1, Fatma Banu Binbaş2, Mustafa Kemal Erol1, İhsan Bakır3
1Departments of Cardiology, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Turkey
2Departments of Anaesthesiology and Reanimation, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Turkey
3Departments of Cardiovascular Surgery, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Turkey
DOI : 10.5606/tgkdc.dergisi.2014.8622
Background: This study aims to evaluate the procedural success and early outcomes of MitraClip implantation.

Methods: Between July 2012 and February 2013, 15 patients (12 males, 3 females; mean age 60.8±13.0 years; range 35 to 78 years) underwent MitraClip implantation in our clinic. All patients had symptomatic severe functional mitral regurgitation with high surgical risk or were judged to be inoperable by the cardiovascular surgeons.

Results: The success of the procedure was 93.33%. MitraClip was successfully implanted in all patients except one. Following the procedure, severity of the mitral regurgitation decreased by 2.1±0.5 grade on average. The mean NYHA functional capacity improved from 3.9±0.4 to 2.6±0.8 after one month during follow-up. Two patients (13.33%) died within the first month of follow-up due to noncardiac causes.

Conclusion: The MitraClip procedure can be performed safely to the symptomatic patients with severe functional mitral regurgitation who have otherwise high surgical risk or are judged to be inoperable. Our initial experience demonstrated acute echocardiographic and early clinical improvement in these patients.

Keywords : MitraClip; mitral regurgitation; mitral valve repair
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