Mitral Regurgitation Treatment
Mitraclip is indicated for patients who have severe, degenerative mitral valve disease (the valve itself doesn’t work) and who are not candidates for open heart surgery (prohibitive risk). In October 2013, the FDA approved the use of the MitraClip to treat patients with degenerative mitral valve regurgitation. Transcatheter or percutaneous mitral valve repair using the mitraclip is a minimally invasive procedure that is done with catheters or small tubes that are guided through the vein from the leg to the heart.
The MitraClip device is delivered to the heart through a small incision in the blood vessel in the leg. The heart continues to beat during the procedure and does not require a heart-lung bypass machine, which is common for open heart surgery. During the mitral valve repair procedure, a catheter (a thin, flexible plastic tube) is inserted through the patient’s skin in the groin area and is guided through the femoral vein to the affected area of the heart. Then, a catheter that holds the MitraClip device goes in through the first catheter so that the MitraClip can be guided into place and attached to the leaflets of the mitral valve. Once the clip is properly placed and securely attached, it is deployed and the catheters are removed. A clip is placed on the leaky part of the mitral valve to prevent the valve from letting the blood flow backwards. It creates a figure 8 opening of the mitral valve.
- No sternotomy or incision through the breast bone
- No heart lung bypass machine
- Shorter hospital stay
- Quicker recovery compared to open heart repair/replacement
The MitraClip improves valve closure and reduces backflow of blood. The heart returns to pumping blood to the body more efficiently, relieving the patient’s symptoms and improving their quality of life.
As with any catheter-based procedure there is a risk of bleeding, kidney damage, stroke and death. If there is damage caused to the mitral valve leaflet or to the heart itself, it may be necessary for the patient to have open heart surgery to make repairs. The cardiothoracic surgeon would perform the surgery.
If you have severe mitral regurgitation and are too sick for traditional mitral valve repair or replacement, and if medicine is not improving your life, you may be eligible for MitraClip. The heart team at can evaluate your symptoms and discuss your treatment options during a valve clinic visit. Call (402) 398-5880 or contact us online with questions and to schedule your evaluation.