The Use of Intraprocedural Reinfusion During MitraClip Implantation to Reduce Blood Loss and Transfusion Requirements

Claire E Raphael; Elad Maor; Sidakpal S Panaich; Guy Reeder; Charanjit S Rihal; Mackram F Eleid

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The Use of Intraprocedural Reinfusion During MitraClip Implantation to Reduce Blood Loss and Transfusion Requirements

Journal article

Peer reviewed

The Use of Intraprocedural Reinfusion During MitraClip Implantation to Reduce Blood Loss and Transfusion Requirements

Claire E Raphael, Elad Maor, Sidakpal S Panaich, Guy Reeder, Charanjit S Rihal and Mackram F Eleid

The Journal of invasive cardiology, Vol.30(1), pp.E1-E3

01/2018

PMID: 29289949

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Abstract

MitraClip implantation has been shown to reduce mitral regurgitation and is an effective treatment option for patients at high risk for conventional surgery. Blood loss is common during the procedure. We assessed the utility of intraprocedural reinfusion of blood aspirated during MitraClip implantation. We compared hemoglobin before and after MitraClip implantation and transfusion requirements in patients who did (n = 83) and did not receive reinfusion (n = 31) during their procedure. For patients who received reinfusion, blood removed during device manipulation was carefully injected back into the patient through the 24 Fr delivery sheath, followed by a saline flush. As expected, patients who received reinfusion had a smaller reduction in hemoglobin post procedure compared to those who did not (0.96 ± 1.0 g/dL vs 1.55 ± 0.94 g/dL; P<.01). There was a trend to lower requirements for blood transfusion in the reinfusion groups (0.39 ± 0.96 units/patient vs 0.15 ± 0.53 units/patient; P<.10). At 30-day follow-up, there was no difference in mortality, stroke, endocarditis, or thromboembolic events between groups. Reinfusion of aspirated blood during MitraClip was associated with reduced blood loss and a trend to reduced requirement for blood transfusion post procedure. Reinfusion during the procedure appeared safe, with no complications.

Blood Loss, Surgical - prevention & control

Mitral Valve Insufficiency - surgery

Humans

Cardiac Catheterization - adverse effects

Heart Valve Prosthesis Implantation - methods

Male

Mitral Valve - surgery

Treatment Outcome

Operative Blood Salvage - methods

Prosthesis Design

Heart Valve Prosthesis Implantation - adverse effects

Cardiac Catheterization - methods

Aged, 80 and over

Female

Aged

Mitral Valve - pathology

Details

Title: Subtitle: The Use of Intraprocedural Reinfusion During MitraClip Implantation to Reduce Blood Loss and Transfusion Requirements
Creators: Claire E Raphael
Elad Maor
Sidakpal S Panaich
Guy Reeder
Charanjit S Rihal
Mackram F Eleid - Department of Cardiovascular Diseases, Mayo Clinic, 200 First Street SW, Rochester, MN 55905 USA. eleid.mackram@mayo.edu
Resource Type: Journal article
Publication Details: The Journal of invasive cardiology, Vol.30(1), pp.E1-E3
PMID: 29289949
ISSN: 1042-3931
eISSN: 1557-2501
Language: English
Date published: 01/2018
Academic Unit: Cardiovascular Medicine; Internal Medicine
Record Identifier: 9984094664802771

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