Interventional cardiology
MitraClip and TriClip
Catheter-based edge-to-edge repair for selected patients with severe mitral or tricuspid valve regurgitation.
Overview
A clip brings the valve leaflets closer together and can reduce backward blood flow. It offers an alternative for selected patients whose surgical risk is high or whose anatomy favours catheter treatment.
Who may be considered?
Assessment includes symptoms, valve anatomy, heart function, pulmonary pressure and the response to optimal medical therapy. A heart team confirms suitability.
How is the procedure performed?
The clip system is advanced through a vein in the groin and guided with transoesophageal echocardiography. One or more clips may be placed until regurgitation is acceptably reduced.
Recovery and follow-up
Hospital observation is usually short. Echocardiography, medication review and monitoring of symptoms and functional capacity form the follow-up plan.
Risks and safety
Bleeding, vascular injury, stroke, valve damage, residual regurgitation, clip detachment and the need for further intervention are possible.