Valvular & structural heart disease

Transcatheter mitral repair in patients with symptomatic moderate functional mitral regurgitation: 1-year outcomes from the MiCLASP study

EuroInterventionPublished MiCLASP study

Authors' conclusion

In the MiCLASP study, patients with moderate FMR experienced significant MR reduction at 1 year, resulting in clinical and symptomatic benefits comparable to those with ≥moderate-severe FMR, suggesting that select patients with symptomatic moderate FMR can benefit from M-TEER.

Study context

Population
Patients with symptomatic moderate functional mitral regurgitation (FMR 2+) compared with FMR ≥3+, treated with the PASCAL systemenrolled patients, 101 FMR 2+ and 197 FMR ≥3+ analysed · FMR 322 · degenerative mitral regurgitation (MR) 163 · mixed/other 59
Participants
544 patients
Comparison
Patients with symptomatic moderate FMR compared to those with FMR ≥3+
  • FMR 2+n = 101
  • FMR ≥3+n = 197
Outcome
MR ≤1+
Follow-up
1 year

Main finding

As reported in the abstract

Further findings

New York Heart Association Class I/II · 1 year

Survival · 1 year

P = 0.176

Change, points

OutcomeFMR 2+FMR ≥3+
Change in the Kansas City Cardiomyopathy Questionnaire overall score · 1 year+13.9+13.9
  • New York Heart Association Class I/II: all p<0.001 vs baseline
  • Change in the Kansas City Cardiomyopathy Questionnaire overall score: all p<0.001 vs baseline

Safety

Major adverse events (MAE) · 1 year

P = 0.413

Original publication

Transcatheter mitral repair in patients with symptomatic moderate functional mitral regurgitation: 1-year outcomes from the MiCLASP study. EuroIntervention. Published 4 August 2025. doi:10.4244/eij-d-25-00031

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