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You are here: Contents > 2017 > Volume 26 Number 2 March 2017 > MITRAL VALVE DISEASE > Initial Results of Combined MitraClip® Implantation and Left Atrial Appendage Occlusion

Initial Results of Combined MitraClip® Implantation and Left Atrial Appendage Occlusion

Xavier Freixa1,8, Rodrigo Estévez-Loureiro2, Fernando Carrasco-Chinchilla3, Dabit Arzamendi4, Pilar Jiménez-Quevedo5, Luis Nombela-Franco5, Ignacio Cruz-González6, Ignacio J. Amat-Santos7, Manel Sabaté1

1Department of Cardiology, Hospital Clinic of Barcelona, University of Barcelona, IDIBAPS, Barcelona, Spain
2Department of Cardiology, Complejo Asistencial Universitario de Leon, Spain
3Department of Cardiology, Hospital Virgen de la Victoria, Málaga, Spain
4Department of Cardiology, Hospital de Sant Pau i Santa Creu, Barcelona, Spain
5Department of Cardiology, Cardiovascular Institute, Hospital Clínico San Carlos, Madrid, Spain
6Department of Cardiology, Hospital Universitario de Salamanca, Spain
7Department of Cardiology, Institute of Heart Sciences (ICICOR, Hospital Clínico Universitario of Valladolid, Spain
8Electronic correspondence: xavierfreixa@hotmail.com

Background and aim of the study: Atrial fibrillation is present in 30-50% of patients undergoing percutaneous mitral valve repair. The presence of a formal contraindication to oral anticoagulation is also very common in these patients. In this context, percutaneous left atrial appendage occlusion (LAAO) may be a valid alternative for these patients. The study aim was to assess the feasibility, safety, and technical considerations of the combination of percutaneous mitral valve repair using the MitraClip system and LAAO. The present study describes the multicenter experience of combined MitraClip and LAAO procedures.


Methods: Between April 2012 and April 2016, six patients were successfully treated with the combined procedure.

Results: In all patients, mitral valve repair was performed before LAAO. Both procedures were successfully performed in all cases without any relevant procedural complication or mortality.

Conclusion: According to the results of the present study, a combination of both techniques appears to be feasible and safe, with favorable in-hospital outcomes.

The Journal of Heart Valve Disease 2017;26:169-174


Initial Results of Combined MitraClip® Implantation and Left Atrial Appendage Occlusion

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