Acute cardiac care & resuscitation
Impact of Mitral Valve Transcatheter Edge-To-Edge Repair on Haemodynamic Parameters in Cardiogenic Shock
Authors' conclusion
Our study demonstrates that TEER leads to favourable haemodynamic changes in patients with CS. We observed a significant reduction in left atrial pressure, V-wave, and an elevation in cardiac index. Importantly, we did not observe any deterioration in left ventricular function following the procedure. This supports the concept of haemodynamic stabilization with TEER in patients with CS and high-grade mitral regurgitation.
Study context
- Population
- Patients undergoing transcatheter edge-to-edge repair (TEER) for mitral valve regurgitation in the setting of cardiogenic shock (CS)patients who underwent TEER in the context of CS
- Participants
- 25 patients
- Exposure
- Haemodynamic and echocardiographic parameters before and after TEER
- Outcome
- Procedural success (mitral regurgitation reduction)
Main finding
As reported in the abstract
- All patients were successfully treated with at least of one grade reduction in mitral regurgitation
Observational data: associations, not effects.
Further findings
Left atrial mean pressure · following the procedure · decreased
P < 0.01
V-wave · following the procedure · decreased
P < 0.01
Stroke volume index · increased
P < 0.01
Cardiac index · increased
P < 0.01
Ejection fraction · after the procedure
- We did not observe any worsening of the ejection fraction after the procedure
In-hospital death · during their hospital stay
- Patients who died during their hospital stay
- Ten patients (40%)
Original publication
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