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    Transcatheter Mitral Valve Repair<br />With MitraClip® Technology: What you and your family should know about this minimally invasive procedure used to treat degenerative mitral regurgitation.


    Do you have mitral regurgitation and want to find out how you can be enrolled into our valve clinic for further evaluation? Call our valve coordinators, and they'll work with you and your referring physician on the necessary steps.

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    Why is the doctor performing this procedure?

    Transcatheter mitral valve repair (TMVR) with the MitraClip® technology is a minimally invasive procedure that may be an option for patients with degenerative mitral regurgitation who are too sick for surgery. Unlike surgery, this procedure does not require opening the chest and temporarily stopping the heart.

    Degenerative mitral regurgitation (also called primary or organic), can be related to age, a birth defect, underlying heart disease, or a history of rheumatic fever. It occurs when your mitral valve’s two leaflets (or flaps) do not close properly, which causes some blood to flow backwards through the valve back into the left atrium.

    To make up for the backflow of blood, your left ventricle must pump harder to keep blood flowing through your body. This strain can enlarge and weaken your heart. Over time, the extra burden on your heart and lungs may lead to congestive heart failure, a condition that occurs when your heart can’t pump enough blood to meet the needs of your body. This may cause you to have shortness of breath, fatigue, an irregular heartbeat, or a persistent cough.
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    What is this procedure?

    This is a minimally invasive procedure to repair the mitral valve for patients with degenerative mitral regurgitation who are too sick for open-heart surgery (also referred to as being at “prohibitive risk” for surgery). While open-heart surgery is an effective treatment for degenerative mitral regurgitation, your doctor may suggest this procedure as an alternative treatment due to your age, advanced heart failure, or other serious medical conditions.

    During this procedure, doctors place a thin tube (called a catheter) through your skin and into a large vein in your leg to reach your heart. A clip is then implanted onto the center of your mitral valve. This reduces mitral regurgitation, and the valve continues to open and close on either side of the clip, allowing blood to flow through.
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    Step by Step Guide

    Step 1 - Your cardiologist will make a small incision in your upper leg, where a guide catheter (a hollow, flexible tube slightly larger than the diameter of a pencil) will be inserted through a vein to reach your heart.
    Step 2 - The MitraClip device, which is attached to the end of a clip delivery system, will be guided to your mitral valve through the catheter. Your cardiologist will use imaging equipment to guide the placement of the clip.
    Step 3 - Your cardiologist will implant the clip on your mitral valve. The clip will grasp the mitral valve leaflets to close the center of the mitral valve and reduce regurgitation. Your cardiologist will then perform tests to confirm that the clip is working properly. In some cases, a second clip may be implanted for further reduction of regurgitation.
    Step 4 - Once the clip is in place and working properly, it will be disconnected from the clip delivery system. The clip delivery system and the guide catheter will then be removed from your body and the incision in your leg will be closed.
    Step 5 - The implanted clip will become a permanent part of your heart, allowing your mitral valve to close more tightly and reduce the backward flow of blood.
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    Our Physician Team

    David DanielsDavid Daniels, M.D.

    Robert GreeneRobert M. Greene, M.D., FACC

    Mitul KadakiaMitul Kadakia, M.D.

    Junaid KhanJunaid H. Khan, M.D.

    James LaiJames Lai, M.D.

    Luisa Munoz Del RomeralLuisa Munoz Del Romeral, M.D., Ph.D.

    Russell StantenRussell D. Stanten, M.D.

    Michael TsangMichael W. Tsang, M.D.

    Clifton WattClifton Watt, M.D.

    Jeffrey WestJeffrey A. West, M.D.

    Xin YangXin Yang, M.D.

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    Non Physician Team

    Elaine SheaElaine Shea, Non Invasive Cardiology Manager

    Shaun Coker-MaidenbergShaun Coker-Maidenberg, Valve Coordinator

    Joanna CastanedaJoanna Castaneda, Valve Coordinator

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    Am I a good candidate for this procedure?

    The TMVR procedure is not right for everyone. In certain cases, the risks of the procedure may outweigh the benefits. MitraClip® therapy should only be used in patients considered to be too sick for surgery. This is determined by the clinical judgment of a heart team, including a cardiac surgeon experienced in mitral valve surgery and a cardiologist experienced in mitral valve disease. An evaluation of your heart will confirm if your heart valve anatomy would allow for successful placement of the device.

    Call Today! (510) 655-4000 ext. 6700

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