Approach to Mitral Regurgitation Requiring Multiple MitraClips
The MitraClip is a percutaneous therapy for repairing severe MR in either degenerative or functional mitral regurgitation (MR). In the initial clinical experience with this therapy, one or two clips were used. However, with commercial use of the device, increasingly more complex anatomy has been treated with some cases requiring three or more clips. The use of multiple clips is highly dependent on valve anatomy, mechanism, and severity of MR. This chapter discusses the implantation strategy, technical considerations, and the potential pitfalls of using multiple clips in the use of the MitraClip therapy.