Valvular & structural heart disease

Mitral Valve Transcatheter Edge-to-Edge Repair: 1-Year Outcomes From the MiCLASP Study

JACC Cardiovasc IntervPublished Prospective single-arm post-market clinical follow-up study

Authors' conclusion

One-year outcomes of this large cohort from the MiCLASP study demonstrate continued safety and effectiveness of M-TEER with the PASCAL system in a post-market setting.

Study context

Population
Patients with symptomatic, clinically significant mitral regurgitation (MR)59% functional MR, 30% degenerative MR
Participants
544 patients
Outcome
Safety: 30-day composite major adverse event rate (clinical events committee-adjudicated); effectiveness: MR severity at discharge vs baseline (echocardiographic core laboratory)
Follow-up
30 days; discharge
Methodological detailsEuropean, core laboratory-assessed, clinical events committee-adjudicated
  • European
  • Core laboratory-assessed
  • Clinical events committee-adjudicated

Main finding

As reported in the abstract

30-day composite major adverse event rate

6.8%

Observational data: associations, not effects.

Further findings

MR severity, sustained · 1 year

MR ≤2+
98%
MR ≤1+
82.6%
  • All P < 0.001 vs baseline

Survival and freedom from HF hospitalization (Kaplan-Meier) · 1 year

Survival
87.3%
Freedom from HF hospitalization
84.3%

Functional and quality-of-life outcomes · 1 year

NYHA class I/II
71.6%
Increase in KCCQ score
14.4-point
Improvement in 6-minute walk distance
24.2-m
  • All P < 0.001 vs baseline

Safety

30-day composite major adverse events (CEC-adjudicated)

Composite major adverse event rate
6.8%

Original publication

Mitral Valve Transcatheter Edge-to-Edge Repair: 1-Year Outcomes From the MiCLASP Study. JACC Cardiovasc Interv. Published 8 April 2024. doi:10.1016/j.jcin.2024.02.022

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