Valvular & structural heart disease

Impact of Residual Mitral Regurgitation and Gradient After M‑TEER: 1‑Year Outcomes From the CLASP IID Trial

JACC Cardiovasc ImagingPublished Secondary analysis of the CLASP IID randomised trial

Authors' conclusion

In the CLASP IID trial, an optimal result was associated with improved hemodynamics with significantly higher freedom from MAEs, all-cause mortality, and composite events at 1 year.

Study context

Population
Patients undergoing mitral transcatheter edge-to-edge repair (M-TEER) in the CLASP IID trial with available discharge echocardiogramwith discharge echocardiogram
Participants
284 patients
Comparison
Optimal vs suboptimal discharge result after M-TEER
  • Optimal resultn = 206
  • Suboptimal resultn = 78reference

Primary result

As reported in the abstract

Freedom from clinical events · 1 year

Freedom from MAEs

P = 0.023

Freedom from mortality

Freedom from mortality, HF hospitalization or reintervention

  • Optimal result vs Suboptimal result: P = 0.016 — freedom from mortality
  • Optimal result vs Suboptimal result: P = 0.022 — freedom from composite

Further findings

Freedom from clinical events within suboptimal result: MR ≤1+ and MVG >5 mm Hg vs MR ≥2+ and MVG ≤5 mm Hg (subgroup) · 1 year

Freedom from MAEs

Freedom from mortality

Freedom from composite

Original publication

Impact of Residual Mitral Regurgitation and Gradient After M‑TEER: 1‑Year Outcomes From the CLASP IID Trial. JACC Cardiovasc Imaging. Published 3 June 2026. doi:10.1016/j.jcmg.2026.04.005

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