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Case Reports in Cardiology
Volume 2017, Article ID 3652413, 3 pages
Case Report

Sequential Venous Percutaneous Transluminal Angioplasty and Balloon Dilatation of the Interatrial Septum during Percutaneous Edge-to-Edge Mitral Valve Repair

University Hospital, Department of Cardiology and Cardiovascular Medicine, Eberhard Karls University Tuebingen, Tuebingen, Germany

Correspondence should be addressed to Harald F. Langer; ed.negnibeut-inu.dem@regnal.dlarah

Received 8 May 2017; Accepted 9 July 2017; Published 9 August 2017

Academic Editor: Ertuğurul Ercan

Copyright © 2017 Rezo Jorbenadze et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Supplementary Material

Supplemental Movie 1. Because of the sclerotic interatrial septum, we had to use a SafeSept® wire to cross the septum. Subsequently, balloon dilatation of the interatrial septum over the transseptal guidewire were carried out to be able to gain sufficient access to the left atrium.

Supplemental Movie 2. Because of a mechanical obstruction in the tortuous right common iliac vein advancing the MitraClip® steering guide or a commonly used dilator was not possible over the ultrastiff wire (Amplatz, Cook Medical, Bloomington, IN), even when using a second superstiff buddy wire.

Supplemental Movie 3. PTA using balloons with increasing diameter of up to 10 mm was carried out to overcome the mechanical obstruction of the iliac vein.

  1. Supplementary Material