Transcatheter Edge-to-Edge Repair eBook

Overview

The TEER procedure is a complex, multi-step procedure that requires advanced skills to achieve optimal outcomes. These skills include a detailed understanding of normal and diseased mitral valve anatomy, imaging with transesophageal echocardiography, and the multiple steps and nuances of delivering and deploying the MitraClip (one or multiple) to the appropriate locations on the mitral valve leaflets. This eBook provides practical knowledge on how to perform the TEER procedure.

Editors

Anita W. Asgar, MD, MSc, FSCAI

Jason H. Rogers, MD, FSCAI

Acknowledgements

Supported by

Table of Contents

Part 1: Pre-Procedure Evaluation

Basic Evaluation of Mitral Regurgitation
Patient Selection for Transcatheter Mitral Leaflet Repair
Imaging Essentials for the Transcatheter Mitral Valve Repair Procedure

Part 2: Transcatheter Mitral Edge-to-Edge Leaflet Repair Device Overview

A User’s Guide to the MitraClip Device
Procedural Strategy and Planning – Primary MR
Procedural Strategy and Planning – Secondary MR

Part 3: Transcatheter Mitral Leaflet Valve Edge-to-Edge Repair Procedure "Step-by-Step"

Procedural Decision-Making Algorithm for TEER
Vascular Access
Transseptal Puncture
Left Atrial Steering, Clip Position, and Trajectory
Clip Alignment and Entering the Left Ventricle
Leaflet Grasping and Additional Clips
Use of Controlled Gripper Actuation
Evaluation of Iatrogenic ASD and Need for Closure
Complications: Single Leaflet Device Attachment, Chordal Entanglement, and Embolization
MitraClip After Surgical Mitral Valve Repair
Future Directions – Practical Guide to Volumetric Intracardiac Echocardiography-guided MitraClip Implantation

Authors

Edris Aman, MD
Anita W. Asgar, MD, MSc, FSCAI
Neil Beri, MD
Lily Chen, MD, FSCAI
Creighton W. Don, MD, PhD, FSCAI
Anique Ducharme, MD, MSc
Patrick Garceau, MD
Mayra E. Guerrero, MD, FSCAI
Rafael Harari, MD
Parasuram Krishnamoorthy, MD
Jamart Laurent, MD
Scott Lim, MD
Georg Burkhard Mackensen, MD, PhD
Rhonda Miyasaka, MD
Paul Ohayon, MD

Nils Perrin, MD
Matthew J. Price, MD, FSCAI
Reza Reyaldeen, MD
Jason H. Rogers, MD, FSCAI
Hirotomo Sato, MD, PhD
Aaron Schelegle, MD, FSCAI
Trevor Simard, MD
Gagan Singh, MD, FSCAI
Nishtha Sodhi, MD, FSCAI
Paul Sorajja, MD, FSCAI
Benjamin Stripe, MD, FSCAI
Gilbert Tang, MD, MBA, FSCAI
Jonathan J. Yap, MBBS, MCRP, MPH

Summary


Availability:	On-Demand
	Expires on May 19, 2025


Cost:	FREE


Credit Offered:	No Credit Offered