Question

For the Mitra Clip procedure for mitral valve regurgitation, answer the following questions:

1. Indicate whether the procedure is diagnostic or therapeutic.
2. Indicate the imaging modality (ies) used/needed to complete the procedure.
3. Indicate the hemodynamic data captured during the procedure, discuss what the hemodynamic data is used to compute and/or determine

Answer 1

1. Mitra clip procedure is therapeutic procedure used for Mitral value regurgitation

Transcatheter mitral valve repair uses mitral clip for treatment for patient who are not eligible for surgery due to age , advanced heart failure

Advantages -

Increase the energy for activities

Improve your appetite

Minimize cough

Improve breathing

Reduce frequency of fainting

2. 3D transoesophageal echocardiography (TEE ) help in direct measurement and proper positioning of septal crossing

2D TEE TRANSOESOPHAGEAL ECHOCARDIOGRAPHY help in mid oesophageal long axis view guidence for anterior posterior view

3) increase in Cardiac output

Increase in forward stroke volume

Decrease in systemic vascular resistance

Left ventricular end diastolic pressure decrease and results in left ventricular end diastolic volume decrease