Accès ouvert déclaré
2025
article
Real‐World Outcomes of the Initial Clip Selection for Transcatheter Edge‐to‐Edge Repair Using the MitraClip G4 From the Optimized Catheter Valvular Intervention‐Mitral Registry
Shunsuke Kubo, Masanori Yamamoto, Mike Saji, Masahiko Asami, Shinichi Shirai, Masaki Izumo, Yusuke Watanabe, Makoto Amaki, Daisuke Hachinohe, Toru Naganuma, Yohei Ohno, Hiroshi Ueno, Gaku Nakazawa, Toshiaki Otsuka, Kentaro Hayashida, Makoto Tanaka, Hikaru Tsuruta, Tetsuya Saito, Yusuke Kobari, Toshinobu Ryuzaki, Tatsuo Takahashi, Shinichi Goto, Shohei Imaeda, Shingo Sakata, Yoshinori Katsumata, Kohsuke Shirakawa, Juri Iwata, Keitaro Shinada, Akiyoshi Kajino, Jungo Kato, Ryo Arita, T. Moriizumi, Mitsuru Sago, Tatsuya Tsunaki, Ryo Yamaguchi, Junji Yanagisawa, Yuki Okubo, Ai Kagase, Takahiro Tokuda, Yuki Nakashima, Toshihiro Kobayashi, Ko Shibata, Ryoutaku Kawahata, Hiroto Nishio, Yuki Kondo, Tomofumi Nakamura, Hiroshi Tsunamoto, Tetsuro Shimura, Yutaka Koyama, Munenori Okubo, Shunsuke Imai, Tokuya Sakakura, Yoshihiro Harano, M. Inagaki, Hirooki Higami, Yoji Kuze, Takashi Nagai, Akihiro Isotani, Kenichi Ishizu, Masato Fukunaga, Hiroyuki Tabata, Toru Morofuji, Hiroyuki Kono, Maiko Kuroda, Euihong Ko, Norihisa Miyawaki, Kenji Nakano, Katsunori Miyahara, Ko Yamamoto, Koumei Onuki, Yasuo Tsuru, Tomohiro Suenaga, Akira Otani, Taiga Katayama, Hirofumi Hioki, Jun‐ichi Nishikawa, Yosei Iseki, Yasuyuki Tsuchida, Kento Kito, Joe Omiya, Masataka Arakawa, Maki Okamoto, Masafumi Saito, Mizuki Miura, Toru Ouchi, Haruhito Yuki, Norio Tada, Masaki Nakashima, Makoto Saigan, Yoshiko Munehisa, Masaki Miyasaka, Natsuko Satomi, Yuta Kobayashi, Daishi Tazawa, Yun Teng, Futoshi Yamanaka, Koki Shishido, Tomoki Ochiai, Tsuyoshi Yamabe, Noriaki Moriyama, Takashi Matsumoto, Hirokazu Miyashita, Yoichi Sugiyama, Kunihiko Shimizu, Daisuke Sato, Yuka Murakami, Nobuyuki Fukuda, Shuhei Tanaka, Hiroshi Onoda, Toshio Doi, Mitsuo Sobajima, Yohei Ueno, Teruhiko Imamura, Ryuichi Ushijima, Yuki Hida, Kazuya Nakashima, Junichi Miyamoto, Tsutomu Murakami, Sho Torii, Makoto Natsumeda, Shigemitsu Tanaka, Takeshi Ijichi, Hitomi Horinouchi, Kazuki Aihara, Katsuaki Sakai, Shingo Matsumoto, Norihiko Kamioka, Norihito Nakamura, Satoshi Noda, Yu Sato, Daisuke Miyahara, Shingo Kuwata, Masashi Koga, Toshiki Kaihara, Takumi Higuma, Kei Honda, Yoshikuni Kobayashi, Risako Murata, Kenichi Sasaki, Daisuke Togashi, Takahiko Kai, Taishi Okuno, Toshiya Yoshida, Karin Terauchi, Kazumasa Yamasaki, Tomoyuki Tani, Mamoru Miyazaki, Yuki Katagiri, Hiroto Suzuyama, Hideharu Okamatsu, Tomohiro Sakamoto, Yoko Horibata, Yutaka Konami, Masahiro Yamada, Eiji Horio, Mika Maeda, Satoko Hasegawa, Megumi Koga, Mikiko Ohara, Hisao Otsuki, Yusuke Inagaki, Chihiro Koyanagi, Tomohito Kogure, Takanori Kawamoto, Masafumi Yoshikawa, Eiji Shibahashi, Kazuki Tanaka, Mikitaka Fujita, Sachiyo Ono, Kohei Osakada, Kazunori Mushiake, Takeshi Maruo, Naoki Nishiura, National Cerebral, Kensuke Takagi, Takeshi Kitai, Atsushi Okada, Tasuku Hada, Shoko Nakagawa, Marina Arai, Yuki Irie, Takahiro Sakamoto, Shinichi Kurashima, Jun Tanaka, Yu Horiuchi, Naoki Hosoda, Hideaki Nonaka, Yuki Gonda, Yohei Nishimura, Ryosuke Higuchi, Ryo Abe, Takashi Hiruma, Satonori Maekawara, Koya Okabe, Yoshiko Nemoto, Masakazu Yasuda, Kosuke Fujita, Tatsuya Miyoshi, Naoko Soejima, Masahiro Maruyama, M Tanaka, Takayuki Kawamura, Honoka Kanno, A Yoshida, Kyohei Onishi, Nobuhiro Yamada, Shinya Okazaki, Minoru Tabata, Shinichiro Doi, Ryota Nishio, Nobuyuki Kagiyama, Tomohiro Kaneko, Sakiko Miyazaki, Norihito Takahashi, Ken Kobayashi, Hidemasa Shitan, Ryo Horita, Ryo Otake, Hiroshi Ohara, Hideki Koike
1Citations signalées, ce qui n’est pas une note de qualité
30Institutions déclarées
3Pays d’affiliation déclarés
Rattachement africain : jp, ca, us.
Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
Background The association of outcomes with initial clip selection has not been investigated in patients undergoing transcatheter edge‐to‐edge repair with the MitraClip G4. Methods We analyzed 2257 patients receiving the MitraClip G4 according to the initial clip type: short (NT/NTW) versus long (XT/XTW) and narrow (NT/XT) versus wide (NTW/XTW). We performed a propensity‐matched analysis of baseline anatomical features in patients with primary and secondary mitral regurgitation (MR). Results The proportions of the initial clip types were as follows: NT, 18.9%; NTW, 41.7%; XT, 5.1%; and XTW, 34.3%. The proportions of the MR severity ≤1+ at discharge and 1 year were not significantly different among the 4 clip types. The incidence of death or heart failure hospitalization was not significantly different between the initial long and short clip groups and between the initial wide and narrow clip groups. After propensity matching, in patients with primary MR, long clips were significantly associated with a greater MR reduction (2.87±0.89 versus 2.62±0.99, P =0.04) and a higher proportion of the MR severity ≤1+ at 1 year (68.2% versus 48.6%, P =0.04) than short clips. In patients with secondary MR, long or wide clips had a similar MR severity at discharge and 1 year as short or narrow clips. Conclusions Residual MR severity and outcomes were not different regardless of the initial clip type, indicating the optimal clip selection in the real‐world settings with the MitraClip G4. In patients with primary MR, greater and more durable MR reduction may be expected by using the initial long clips. Registration URL: https://www.umin.ac.jp/ctr/ ; Unique identifier: UMIN‐ID: UMIN000023653.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Real‐World Outcomes of the Initial Clip Selection for Transcatheter Edge‐to‐Edge Repair Using the MitraClip G4 From the Optimized Catheter Valvular Intervention‐Mitral Registry
- Date Crossref
- 02/09/2025
- Éditeur
- Ovid Technologies (Wolters Kluwer Health)
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Les institutions déclarées
Une affiliation ne permet pas de déduire la nationalité d’un auteur.
Les sujets associés
Cardiac Valve Diseases and TreatmentsCardiovascular Function and Risk FactorsCoronary Interventions and Diagnostics