Percutaneous left ventricular advanced support for 'protected' complex high-risk transcatheter mitral valve repair: a case series.

ABSTRACT:

Background

Currently, the use of advanced ventricular support systems during percutaneous mitral valve repair (PMVR) procedures is confined to very few selected cases in emergency or bailout situations. No cases are reported of planned use of ventricular support devices in the subgroup of high-risk patients undergoing PMVR.

Case summary

We report two cases of planned and 'protected' procedures of PMVR with Impella CP mechanical circulatory support. No procedure-related complications occurred. At 6-month clinical follow-up evaluation, an improvement of symptoms and functional class (New York Heart Association) was reported.

Discussion

In the two cases reported, PMVR with Impella CP assistance was feasible, safe and effective in the setting of severe mitral regurgitatio

SUBMITTER: Muraca I 

PROVIDER: S-EPMC7319845 | biostudies-literature | 2020 Jun

REPOSITORIES: biostudies-literature