dr vlasis ninios - livemedia.gr · 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% baseline 30 days...

Dr Vlasis Ninios

St. Luke’s Hospital

Thessaloniki

2018

Edge-to Edge repair with the MitraClip (Abbott Vascular)

Kaplan-Meier Freedom from MV Surgery in MitraClip group or Re-operation in Surgery group

All Treated Patients (N = 258) – Landmark Analysis

RCT MitraClip Non-High Risk (N = 178)

RCT Surgery Non-High Risk (N = 80)MitraClip Non-High Risk (N = 178)

Surgery Non-High Risk (N = 80)

MitraClip (N = 178)

Surgery (N = 80)

98.7%97.1%

97.2%96.3%

1 year 2 years

95.6%95.5%

3 years

10809007205403600 180

Days Post Index Procedure

(97)

Total

MR etiology

Functional MR Degenerative MR Mixed Etiology

65.6%

20.8%

13.6%

-EMEA sites-

FMR

DMR

85

15%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Baseline 30 days

4+

3+

4+

1+

2+

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Baseline 30 days

NYHA IV

NYHA III

NYHA II

NYHA I

III

IV

IV

III

II

I

Moderate MR after 2 clips… Patient had tremendous improvement

Final Result

BEFORE AFTER

88 Y. OLD PATIENT-ISCHEMIC CARDIOMYOPATHY- RECENT PULMONARY OEDEMA

GRASP A3-P3

GRASP A3-P3

1ST GRASP 2ND GRASP

GRASP A2-P2

FINAL RESULT

BEFORE AFTTER 2 CLIPS

A2-A3 PROLAPSE

1ST CLIP A3-P3

2ND CLIP A2-P2

FINAL RESULT

FINAL RESULT

BEFORE AFTER