The MitraClip is the first-in-class percutaneous therapy for mitral regurgitation. It is delivered from the femoral vein and can be used for degenerative or functional mitral regurgitation. In Singapore, the device was first approved for use in 2011. This review describes the device and discusses the data supporting its use and the regional experience to date. The MitraClip, given the early experience, should only be used after consideration by Heart Teams and only in appropriately selected patients.
AlfieriOMaisanoF. An effective technique to correct anterior mitral leaflet prolapse. J Card Surg1999;14(6):468–70 doi: 10.1111/j.1540-8191.1999.tb01280.x.
2.
FucciCSandrelliLPardiniATorraccaLFerrariMAlfieriO. Improved results with mitral valve repair using new surgical techniques. Eur J Cardiothorac Surg1995;9(11):621–6 discuss 6–7 doi: 10.1016/S1010-7940(05)80107-1.
3.
MaisanoFTorraccaLOppizziMStefanoPLD'AddarioGLa CannaG. The edge-to-edge technique: A simplified method to correct mitral insufficiency. Eur J Cardiothorac Surg1998;13(3):240–5; discussion 5–6 doi: 10.1016/S1010-7940(98)00014-1.
4.
FranzenOBaldusSRudolphVMeyerSKnapMKoschykD. Acute outcomes of MitraClip therapy for mitral regurgitation in high-surgical-risk patients: Emphasis on adverse valve morphology and severe left ventricular dysfunction. Eur Heart J2010;31(11):1373–81 doi: 10.1093/eurheartj/ehq050.
5.
TamburinoCUssiaGPMaisanoFCapodannoDCannaGLScanduraS. Percutaneous mitral valve repair with the MitraClip system: Acute results from a real world setting. Eur Heart J2010;31(11):1382–9 doi: 10.1093/eurheartj/ehq051.
6.
FeldmanTKarSRinaldiMFailPHermillerJSmallingR. Percutaneous mitral repair with the MitraClip system: Safety and midterm durability in the initial EVEREST (Endovascular Valve Edge-to-Edge REpair Study) cohort. J Am Coll Cardiol2009;54(8):686–94 doi: 10.1016/j.jacc.2009.03.077.
7.
YeoKKDingZ PChuaYLLimSTSinKYTanJW. Percutaneous mitral valve repair with MitraClip for severe functional mitral regurgitation. Singapore Med J2013;54(1):e9–12.
8.
FeldmanTFosterEGlowerDGKarSRinaldiMJFailPS. Percutaneous repair or surgery for mitral regurgitation. N Eng J Med2011;364(15):1395–406 doi: 10.1056/NEJMoa1009355.
9.
YeoKKYapJYamenEMudaNTayEWaltersDL. Percutaneous mitral valve repair with the MitraClip: Early results from the MitraClip Asia-Pacific Registry (MARS). EuroIntervention2014;10(5):620–5 doi: 10.4244/EIJV10I5A107.
10.
TamburinoCUssiaG PMaisanoFCapodannoDLa CannaGScanduraS. Percutaneous mitral valve repair with the MitraClip system: Acute results from a real world setting. Eur Heart J2010;31(11):1382–9 doi: 10.1093/eurheartj/ehq051.
11.
RogersJHFranzenO. Percutaneous edge-to-edge MitraClip therapy in the management of mitral regurgitation. Eur Heart J2011;32(19):2350–7 doi: 10.1093/eurheartj/ehr101.
12.
FranzenOvan der HeydenJBaldusSSchluterMSchillingerWButterC. MitraClip® therapy in patients with end-stage systolic heart failure. Eur J Heart Fail2011 May;13(5):569–76 doi: 10.1093/eurjhf/hfr029.
13.
BishayESMcCarthyPMCosgroveDMHoercherKJSmediraNGMukherjeeD. Mitral valve surgery in patients with severe left ventricular dysfunction. Eur J Cardiothorac Surg2000;17(3):213–21 doi: 10.1016/S1010-7940(00)00345-6.
14.
Di SalvoTGAckerMADecGWByrneJG. Mitral valve surgery in advanced heart failure. J Am Coll Cardiol2010;55(4):271–82 doi: 10.1016/j.jacc.2009.08.059.
15.
KapoorJR. Role of mitral valve surgery for secondary mitral regurgitation in heart failure. J Am Coll Cardiol2009;53(1):74; author reply 75 doi: 10.1016/j.jacc.2008.08.065.
16.
WuAHAaronsonKDBollingSFPaganiFDWelchKKoellingTM. Impact of mitral valve annuloplasty on mortality risk in patients with mitral regurgitation and left ventricular systolic dysfunction. J Am Coll Cardiol2005;45(3):381–7 doi: 10.1016/j.jacc.2004.09.073.