Impact of Persistent Iatrogenic Atrial Septal Defect following MitraClip

被引:3
|
作者
Chao, Chieh-Ju [1 ]
Seri, Amith [2 ]
Abraham, Bishoy [2 ]
Farina, Juan M. M. [2 ]
Fennelly, Evelyn [2 ]
Campany, Megan [2 ]
Pereyra, Milagros [2 ]
Said, Ebram F. F. [2 ]
Kenyon, Courtney [2 ]
Fath, Ayman R. R. [1 ]
Smith, Sean [2 ]
Buckner-Petty, Skye [2 ]
Rayfield, Corbin A. A. [2 ]
Fortuin, David [2 ]
Sweeney, John P. P. [2 ]
Yang, Eric H. H. [2 ]
Ayoub, Chadi [2 ]
Eleid, Mackram F. F. [1 ]
Alkhouli, Mohamad [1 ]
Rihal, Charanjit S. S. [1 ]
Holmes, David R. R. [1 ]
Pollak, Peter M. M. [3 ]
El Sabbagh, Abdallah [3 ]
Oh, Jae K. K. [1 ]
Arsanjani, Reza [2 ]
机构
[1] Mayo Clin, Dept Cardiovasc Dis, Rochester, MN 55902 USA
[2] Mayo Clin, Dept Cardiovasc Dis, Phoenix, AZ 85054 USA
[3] Mayo Clin, Dept Cardiovasc Dis, Jacksonville, FL 32224 USA
关键词
mitral valve insufficiency; endovascular procedures; echocardiography; VALVE REPAIR; AMERICAN SOCIETY; ECHOCARDIOGRAPHIC-ASSESSMENT; EUROPEAN ASSOCIATION; HEART; GUIDELINES; ADULTS; SHUNT;
D O I
10.3390/jcdd10010001
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: Prior studies have reported conflicting results of persistent iatrogenic atrial septal defect (iASD) and its impact following a transcatheter edge-to-edge repair (TEER) procedure. This study aims to evaluate the incidence of iASD and its clinical and hemodynamic impact after a TEER. Methods: Consecutive patients who underwent a TEER procedure from June 2014 to September 2020 at the Mayo Clinic were identified. The presence of iASD was retrospectively identified on post-procedure transthoracic echocardiography (TTE) to group patients into an iASD+ group and an iASD- group for comparison of prognosis and cardiac function. Results: A total of 316 patients were included; the mean age was 79.1 +/- 9.1 years, and 67.7% were male. Persistent iASD was diagnosed in 108 (34.2%) patients. There was no difference concerning all-cause mortality, heart failure hospitalization, and stroke/TIA between groups at follow-up (median follow-up of 9 months). Post-procedure TTE demonstrated no differences regarding right ventricle (RV) and left ventricle (LV) dimensions and function, including TAPSE (15.2 +/- 4.6 vs. 15.4 +/- 5.5 mm, p = 0.875), and LV ejection fraction (51.1 +/- 14.0% vs. 51.3 +/- 13.9%, p = 0.933). However, patients with iASD had higher RV systolic pressure (48.7 +/- 14.4 vs. 45.5 +/- 14.5 mmHg, p = 0.042) compared with patients without iASD. Conclusion: Notwithstanding higher RV pressures, patients with persistent iASD had no hemodynamic compromise and an equal prognosis compared with those without a residual atrial defect after a TEER procedure. These findings support the mid-term safety of procedures in which an interatrial defect needs to be created and would argue against the need for interventional closure.
引用
收藏
页数:10
相关论文
共 50 条
  • [1] LEFT ATRIAL PRESSURE CORRELATION WITH PERSISTENT IATROGENIC ATRIAL SEPTAL DEFECT AFTER MITRACLIP IMPLANTATION
    Sethi, Prince
    Parimi, Nikhil
    Acharya, Prakash
    Goyal, Amandeep
    Daon, Emmanuel
    Zorn, George
    Tadros, Peter
    Wiley, Mark
    [J]. JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2021, 77 (18) : 1200 - 1200
  • [2] Haemodynamic and functional consequences of the iatrogenic atrial septal defect following Mitraclip therapy
    Hart, E. A.
    Zwart, K.
    Teske, A. J.
    Voskuil, M.
    Stella, P. R.
    Chamuleau, S. A. J.
    Kraaijeveld, A. O.
    [J]. NETHERLANDS HEART JOURNAL, 2017, 25 (02) : 137 - 142
  • [3] Iatrogenic Atrial Septal Defect After MitraClip Therapy
    Rogers, Jason H.
    Smith, Thomas
    [J]. JACC-CARDIOVASCULAR INTERVENTIONS, 2015, 8 (09) : 1270 - 1271
  • [4] Haemodynamic and functional consequences of the iatrogenic atrial septal defect following Mitraclip therapy
    E. A. Hart
    K. Zwart
    A. J. Teske
    M. Voskuil
    P. R. Stella
    S. A. J. Chamuleau
    A. O. Kraaijeveld
    [J]. Netherlands Heart Journal, 2017, 25 : 137 - 142
  • [5] REPLY: Iatrogenic Atrial Septal Defect After MitraClip Therapy
    Schueler, Robert
    Hammerstingl, Christoph
    [J]. JACC-CARDIOVASCULAR INTERVENTIONS, 2015, 8 (09) : 1271 - 1272
  • [6] Haemodynamics of an iatrogenic atrial septal defect after MitraClip implantation
    Eden, Matthias
    Leeb, Leonhard
    Frey, Norbert
    Rosenberg, Mark
    [J]. EUROPEAN JOURNAL OF CLINICAL INVESTIGATION, 2020, 50 (10)
  • [7] PREVALENCE OF IATROGENIC ATRIAL SEPTAL DEFECT POST MITRACLIP - AN INSTITUTIONAL EXPERIENCE
    Tandon, Varun
    Tripathi, Byomesh
    Distler, Edward
    Bhalla, Vikas
    Verma, Divya Ratan
    Seethala, Srikanth
    [J]. JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2021, 77 (18) : 1197 - 1197
  • [8] RIGHT HEART FAILURE FROM PERSISTENT IATROGENIC ATRIAL SEPTAL DEFECT FOLLOWING ATRIAL FIBRILLATION ABLATION
    Yousuf, Mian A.
    Haque, Sulsal
    O'donnell, Robert
    Attari, Mehran
    [J]. JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2014, 63 (12) : A661 - A661
  • [9] Iatrogenic Atrial Septal Defect
    Alkhouli, Mohamad
    Sarraf, Mohammad
    Holmes, David R.
    [J]. CIRCULATION-CARDIOVASCULAR INTERVENTIONS, 2016, 9 (04)
  • [10] Iatrogenic Atrial Septal Defect After Percutaneous Mitral Valve Repair With the MitraClip System
    Toyama, Kentaro
    Rader, Florian
    Kar, Saibal
    Kubo, Shunsuke
    Shiota, Takahiro
    Nishioka, Toshihiko
    Siegel, Robert J.
    [J]. AMERICAN JOURNAL OF CARDIOLOGY, 2018, 121 (04): : 475 - 479