Percutaneous mitral valve repair with the MitraClip: Early results from the MitraClip Asia-Pacific Registry (MARS)

Khung Keong Yeo, Jonathan Yap, Eric Yamen, Nasir Muda, Edgar Tay, Darren L. Walters, Teguh Santoso Sukamto, Xianbao Liu, Paul Jansz, James Yip, Robaayah Zambahari, Jurgen Passage, Tian Hai Koh, Jian'an Wang, Gregory Scalia, Ivandito Kuntjoro, Amiliana Mardiani Soesanto, David Muller

Research output: Contribution to journalArticlepeer-review

25 Citations (Scopus)

Abstract

Conclusions: Results from the Asia-Pacific region show that the MitraClip procedure is effective in reducing mitral regurgitation and has favourable short-term safety outcomes.

Methods and results: The MitraClip Asia-Pacific Registry (MARS) includes data from eight different centres in five countries in the Asia-Pacific region. The primary efficacy outcome was reduction in MR to .2+ at 30 days. The safety outcome was 30-day freedom from major adverse events (MAE), defined as the composite of death, myocardial infarction, non-elective cardiac surgery, renal failure, transfusion of .2 units of blood, ventilation for >48 hours, septicaemia, and new onset atrial fibrillation. A total of 142 patients underwent the MitraClip procedure from February 2011 to October 2013. Fifty-three point five percent (76) of patients had functional MR, 45.8% (65) had degenerative MR and 0.7% (1) had mixed MR. The acute procedural success rate was 93.7% (133). Thirty-one point seven percent of the patients were in NYHA Class I-II at baseline, compared to 82.1% at 30 days (p<0.001). Zero percent (0) of the patients had .2+ MR at baseline compared to 76.8% (109) at 30 days (p<0.001).

Aims: Percutaneous MitraClip therapy has been shown to be safe and efficacious in mitral regurgitation (MR). Our aim was to describe early outcomes in patients from the Asia-Pacific region.

Original languageEnglish
Pages (from-to)620-625
Number of pages6
JournalEuroIntervention
Volume10
Issue number5
DOIs
Publication statusPublished - 1 Jan 2014

Keywords

  • MitraClip
  • Mitral regurgitation

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