MitraClip is a minimally invasive treatment option for leaky mitral valve disease, specifically for mitral regurgitation (MR). MR occurs when the mitral valve does not close properly, causing blood to flow backward into the left atrium instead of flowing forward into the left ventricle.
MitraClip is a catheter-based procedure that aims to repair the mitral valve without the need for open-heart surgery. Here's how the MitraClip procedure works:
- Pre-procedure Evaluation: The patient undergoes a thorough evaluation, including imaging tests such as echocardiography, to determine the severity and suitability for MitraClip treatment.
- Catheter Insertion: The procedure is performed under general anesthesia. A small incision is made in the groin area to access the femoral vein. A catheter with the MitraClip device attached is guided through the blood vessels and into the heart, specifically the left atrium.
- Clip Placement: Using real-time imaging, the MitraClip device is advanced through the mitral valve and positioned to grasp the leaflets of the valve. The clip is designed to reduce the regurgitation by bringing the leaflets together and allowing them to close more effectively.
- Assessment and Adjustment: Once the clip is in place, its position and effectiveness are assessed using echocardiography. The clip may be repositioned or additional clips may be added if necessary to optimize the results.
- Completion of the Procedure: Once the desired repair is achieved, the clip is secured, and the catheter is removed. The incision in the groin is typically closed with sutures or adhesive strips.
MitraClip treatment offers several benefits:
- Minimally Invasive: MitraClip is performed using catheter-based techniques, which means there is no need for open-heart surgery or the use of a heart-lung machine.
- Reduced Hospital Stay and Recovery Time: Compared to traditional surgical approaches, MitraClip typically requires a shorter hospital stay and allows for faster recovery.
- Improved Symptoms and Quality of Life: MitraClip can reduce the severity of mitral regurgitation, improving symptoms such as shortness of breath, fatigue, and exercise capacity.
Listen to the expert Dr. Rajiv C, Senior Consultant - Interventional Cardiology speaks about Treatment and Care for Heart Disease.