03 vsum6 imaging for tricuspid and mitral interventions garcia sayan

Ÿ BaySlt oLurkes A (ntusrssn Fen

Medical Center

Imaging Tor Tricuspid and Mitral

Interventions

Enrique Garcia-Sayan, MD, FACC, FASE

Associate Professor, Baylor Colege of Medicine

(Houston, TX, USA)

HOLNGH SIEU AM TOAN QUOC LAN THU shu WSU,
THEO NATIONAL CONGRESS OF VIETNAMESE SOCIETY OF ULTRASOUNDIN MEDICINE {
TR ph yO hn 20 uy March,

Mitral TEER; Currently Available Devices

MitaClipG»4 NT and NTW

Abbott MitraClip™ G4 ASCAL Implant PASCAL Ae Implant

approved for DM&RFMR EdwardsPASCAL"

FDA approved fr DMR 09/2022
(vestifogr FaMRtiCLoASPn2F)

Mitral TEER: Indications

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Mitral TEER: Patient Selec& tSuiitaboilnity

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Primary MRI Primary MR Primary MR PrimarMRy

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MitraCip™ G4: Optimal Device Selection

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Outcomes, procedural aspects, and considerations or

device sleton

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Identity the Location and Predict Grasp Angle

Challenging Unsuitable

Commissura Cleft Perforation

Measuring Posterior Mitral Leaflet (PML]

Assess Risk of Stenosis: Gradient & MVA

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: Ta mm

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Predicting Procedural Success

PrimarMyR EVERESTI criteria Secondary MR tno
Fail Width <15 mm, FlallGap<1m0m Coaptation Length 2 mm & dep

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Anticipating Challenges

Transseptal Tenting

LỆ, RA

Fame OO

Transseptal Puncture

Positioning / teeing 09200 GraspiAnrgea

Aligning and Testing Clip Arms

CrostsheiVnalgve

Confirming Alignment Before Grasp

Leaflet Grasping: CDS Withdrawn

Leaflet Grasping: Grippers Lowered and Closing to 60°

Verifying Orientation Before Full Closure

Full Device Closure under Color Flow Doppler