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Percutaneous edge-to-edge repair of the mitral valve has been shown to be a safe and effective alternative treatment option for selected patients at high risk for cardiac surgery. Patients with recurrent mitral regurgitation after surgical mitral valve repair (sMVR) are per se at increased risk for another cardiac surgery. The purpose of this multicenter retrospective analysis of patients treated with a MitraClip® after sMVR, is to evaluate the effectiveness and durability of this minimally invasive treatment option in this subset of patients.
In this multicenter retrospective analysis of MitraClip® cases after MVR the effectiveness and durability of this minimally invasive treatment option in this subset of patients will be evaluated.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Percutaneous edge-to-edge repair of the mitral valve | Device | MitraClip in patients with recurrent MI after surgical mitral valve repair. |
| Measure | Description | Time Frame |
|---|---|---|
| Survival | 1 year | |
| MR (mitral regurgitation) grade after clip treatment | Scale 0-4 | 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| MR (mitral regurgitation) grade at latest follow up | Scale 0-4 | 1 year |
| NYHA status at latest follow up | 1 year | |
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Inclusion Criteria:
Exclusion Criteria:
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patients treated with a MitraClip® after sMVR
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Daniel Braun, MD | Contact | +49 89 4400 | 73052 | Daniel.Braun@med.uni-muenchen.de |
| Jörg Hausleiter, MD | Contact | +49 89 4400 | 72360 | Joerg.Hausleiter@med.uni-muenchen.de |
| Name | Affiliation | Role |
|---|---|---|
| Jörg Hausleiter, MD | LMU Munich | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Munich University Hospital | Recruiting | Munich | Bavaria | 81377 | Germany |
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| ID | Term |
|---|---|
| D008944 | Mitral Valve Insufficiency |
| ID | Term |
|---|---|
| D006349 | Heart Valve Diseases |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
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| Distance in 6 minute walk test at latest follow up |
| 1 year |
| LVEF (left ventricular ejection fraction) at latest follow up | 1 year |
| LVEDV (left ventricular enddiastolic volume) at latest follow up | 1 year |
| LVEDD (lef ventricular enddiastolic diameter) at latest follow up | 1 year |
| Mean mitral valve gradient | 1 year |
| Procedural complications | index procedure |
| Death, recurrent mitral regurgitation grade > 2, repeat intervention/operation of mitral valve | combined endpoint defined as freedom from each Event (death, MR grade >2 or reintervention/Operation) | 1 year |
| Clip success based on type of sMVR | success defined as reduction of 1 MR grade (scale 0-4) | index procedure |