Percutaneous Transcatheter Edge-to-Edge MitraClip Technique: A Practical “Step-by-Step” 3-Dimensional Transesophageal Echocardiography Guide

Limor Ilan Bushari, Guy S. Reeder, Mackram Eleid, Krishnaswamy Chandrasekaran, Maurice Eriquez-Sarano, Charanjit Rihal, Joseph F. Maalouf

Research output: Contribution to journalReview article

5 Scopus citations


Recent innovations and advancements in 3-dimensional (3D) echocardiography allow for better understanding of anatomic relationships and improve communication with the interventional cardiologist for guidance of catheter-based interventions. The mitral valve lends itself best for imaging with transesophageal echocardiography (TEE). Consequently, the role of 3D TEE in guiding catheter-based mitral interventions has been evolving rapidly. Although several publications have reported on the advantages and role of 3D TEE in guiding one or more of the steps involved in percutaneous mitral valve repair using the MitraClip, none offer a comprehensive and practical user-friendly guide. This review article provides the reader with practical intraprocedural tips on use of 3D TEE to guide all relevant steps involved in the procedure including how to acquire the images needed and what to look for.

Original languageEnglish (US)
Pages (from-to)89-102
Number of pages14
JournalMayo Clinic proceedings
Issue number1
StatePublished - Jan 1 2019
Externally publishedYes


ASJC Scopus subject areas

  • Medicine(all)

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