- Approximates the anterior and posterior leaflets of the MV at the origin of the MR jet, creating a double-orifice MV that is similar to the surgical Alfieri stitch
- Echo features that portend benefit from mTEER include:
- LVEF 20-50%,
- LV end-systolic dimension <70 mm, and
- PASP <70 mm Hg
- Who will you recommend for a MitraClip?
- Severe, symptomatic primary MR with prohibitive risk of cardiac surgery (STS-Predicted Risk of Mortality ≥ 8% or high-risk characteristics) as assessed by a cardiac surgeon
- Severe, symptomatic secondary MR on maximally tolerated GDMT
- if MR severity and LV parameters are consistent with COAPT trial criteria