Tratamiento percutáneo de prolapso mitral con MitraClip

19 Jun

Tratamiento percutáneo de prolapso mitral con MitraClip

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Detallado e interesante caso compartido por Dr. Gilbert Tang (@GilbertTangMD).

Here’s what we did: 2 XTR at A2/P2.
-TS sup/post (3X RF to cross!)
-8x40 balloon to cross SGC
-(+)knob on SGC to steer away from LA wall during straddle
-(-)knob on SGC to create aorta hugger to optimize trajectory
-XTR closed entering LV
-Clip#1 medial of A2/P2 https://t.co/zeSHoyc3Ym pic.twitter.com/GFRzv6J220
— Dr. Gilbert Tang (@GilbertTangMD) February 15, 2020

XTR #2: lateral to Clip 1
-Same steering
-Hard to get close to Clip 1
-1st grasp: what do you all think?@PaulMahoneyMD @PradeepYadavMD @bkolskk @mirvatalasnag @SSamargandy @TsuyoshiKaneko1 @JamesDThomasMD1 @Almanfi_Cardio @kashishgoelmd pic.twitter.com/qYRWtM2OCL
— Dr. Gilbert Tang (@GilbertTangMD) February 15, 2020

We regrasped since P2 slid back and got a much better result: mild MR! TR severe down to mild-mod. What a case!!!@SSamargandy @mirvatalasnag @PaulMahoneyMD @bkolskk @Almanfi_Cardio @JamesDThomasMD1 @chrismeduri @PradeepYadavMD @PSorajja @caresans26 @pomyers @Rodrigo79786035 pic.twitter.com/RPDRiKfNuj
— Dr. Gilbert Tang (@GilbertTangMD) February 16, 2020

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Tratamiento percutáneo de prolapso mitral con MitraClip

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Tratamiento percutáneo de prolapso mitral con MitraClip