Transcatheter Edge-to-Edge Repair eBook-TEER eBook PDF

TEER eBook PDF

Pdf Summary

The chapter discusses patient selection and device considerations for transcatheter mitral leaflet repair (TEER). It emphasizes the importance of favorable anatomy, absence of calcification, and suitable mitral valve area in patient selection. Pre-interventional transesophageal echocardiography (TEE) is essential for identifying valvular dysfunction and guiding device selection. The chapter also highlights the need for comprehensive imaging and advancements in intraprocedural imaging. The procedural strategy involves careful patient selection, coordination with the anesthesia team, and assessing suitability based on anatomic criteria. Left atrial steering and clip positioning are crucial for successful outcomes. Independent leaflet grasping can be useful in certain situations. Complications of TEER include single leaflet device attachment, chordal entanglement, and device embolization. Preventative measures and management techniques are discussed. The appendix provides a flowchart for decision-making during the procedure.

Keywords

patient selection

device considerations

transcatheter mitral leaflet repair

TEER

favorable anatomy

absence of calcification

pre-interventional transesophageal echocardiography

valvular dysfunction

procedural strategy

complications

MitraClip

mitral