Same-day discharge after transcatheter mitral valve repair using MitraClip in a tertiary community hospital: a case series.

Abstract

BACKGROUND:

Due to the current Coronavirus Disease 2019 (COVID-19) pandemic, there is a realization for innovation in procedures and protocols to minimize hospital stay and at the same time ensure continued evidence-based treatment delivered to the patients. We present a same-day discharge protocol for transcatheter mitral valve repair (TMVR) using MitraClip under general anaesthesia in a six-patient case series. This protocol aims to reduce the length of hospital stay, thereby minimizing potential for nosocomial COVID-19 infections and to promote safe discharge with cautious follow-up.

CASE SUMMARY:

Six patients with severe symptomatic mitral valve (MV) regurgitation underwent successful transfemoral MV repair using standard procedures. Following repair, patients were monitored on telemetry in the recovery area for 3 h, ambulated to assess vascular access stability and underwent post-procedural transthoracic echocardiogram to assess for any pericardial effusion or post-procedural prosthetic mitral stenosis.

CONCLUSION:

Same-day discharge after TMVR is possible when done cautiously with close follow-up, can minimize hospital stay, improve resource utilization, and reduce risk of nosocomial COVID-19 infection.

• Authors: Medhat Chowdhury, Rupinder Buttar, Devesh Rai, Muhammad Waqas Tahir, Bryan E-Xin Tan, Samarthkumar Thakkar, Hammad Ali, Harsh P Patel, Deepak L Bhatt, Jeremiah P Depta
• Journal: European heart journal. Case reports (Eur Heart J Case Rep) Vol. 5 Issue 10 Pg. ytab397 (Oct 2021) ISSN: 2514-2119 [Electronic] England
• PMID: 34693199 (Publication Type: Case Reports)
• Copyright: © The Author(s) 2021. Published by Oxford University Press on behalf of the European Society of Cardiology.