{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T14:40:12Z","timestamp":1747147212899,"version":"3.40.5"},"reference-count":17,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2020,10,12]],"date-time":"2020-10-12T00:00:00Z","timestamp":1602460800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>During MitraClip implantation sub\u2010valvular correction of trajectory and\/or alignment may increase adverse clip or leaflet events. With systematic adjunctive use of fluoroscopy (\u201c<jats:italic>Parallax technique<\/jats:italic>\u201d), we aimed to assess parameters that minimize the need for corrective measures and help increase procedural efficiency.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We retrospectively analyzed 30 patients without (Fl\u2010) and 39 patients utilizing adjunctive fluoroscopy (Fl+) during MitraClip implantation. After establishing trajectory and supra\u2010valvular alignment, the <jats:italic>Parallax technique<\/jats:italic> was utilized. Trajectory and alignment are maintained during advancement.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All patients had 3 or 4+ MR. There were no differences in baseline demographics. The average number of clips (Fl\u2010 vs Fl+) was 1.72\u2009\u00b1\u20090.8 vs 1.59\u2009\u00b1\u20090.5, <jats:italic>p<\/jats:italic> = .57. For the first clip, the need for sub\u2010valvular alignment (80% vs. 36%, <jats:italic>p<\/jats:italic> = .0001), eversion with retraction back to left atrium (23% vs. 10%, <jats:italic>p<\/jats:italic> = .001) and the number of grasps (2.3\u2009\u00b1\u20091.2 vs 1.4\u2009\u00b1\u20090.9) was reduced. The time from transseptal puncture to first clip deployment (71\u2009\u00b1\u200921 vs 44\u2009\u00b1\u200916\u2009min, <jats:italic>p<\/jats:italic> = .01) was reduced. Procedural success was achieved in all but one patient in the Fl\u2010 group (p = ns). There were no differences noted for in\u2010hospital or 30\u2010day outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Systematic use of a simple and easy to implement <jats:italic>\u201cParallax technique\u201d<\/jats:italic> was associated with reduced need for sub\u2010valvular manipulation and was associated with improved procedural times. Further larger scale studies are needed to assess the applicability of the technique.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.29323","type":"journal-article","created":{"date-parts":[[2020,10,12]],"date-time":"2020-10-12T21:07:54Z","timestamp":1602536874000},"page":"745-754","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Adjunctive use of fluoroscopy during MitraClip implantation reduces procedural complexity: <i>The parallax technique<\/i>"],"prefix":"10.1002","volume":"97","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9123-8038","authenticated-orcid":false,"given":"Gagan D.","family":"Singh","sequence":"first","affiliation":[{"name":"Division of Cardiovascular Medicine University of California Davis  Davis California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3363-8070","authenticated-orcid":false,"given":"Jason H","family":"Rogers","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine University of California Davis  Davis California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Chen","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery University of California Davis  Davis California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5227-8536","authenticated-orcid":false,"given":"Jonathan","family":"Yap","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine University of California Davis  Davis California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas W.R.","family":"Smith","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine University of California Davis  Davis California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dali","family":"Fan","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine University of California Davis  Davis California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin","family":"Stripe","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine University of California Davis  Davis California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edris","family":"Aman","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine University of California Davis  Davis California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,10,12]]},"reference":[{"doi-asserted-by":"publisher","key":"e_1_2_9_2_1","DOI":"10.1056\/NEJMoa1806640"},{"doi-asserted-by":"publisher","key":"e_1_2_9_3_1","DOI":"10.1016\/j.jacc.2017.03.011"},{"doi-asserted-by":"publisher","key":"e_1_2_9_4_1","DOI":"10.1056\/NEJMoa1009355"},{"doi-asserted-by":"publisher","key":"e_1_2_9_5_1","DOI":"10.1016\/j.jacc.2015.12.054"},{"doi-asserted-by":"publisher","key":"e_1_2_9_6_1","DOI":"10.1016\/j.jcin.2019.02.039"},{"doi-asserted-by":"publisher","key":"e_1_2_9_7_1","DOI":"10.1093\/ehjci\/jet060"},{"doi-asserted-by":"publisher","key":"e_1_2_9_8_1","DOI":"10.1002\/ccd.28035"},{"unstructured":"MitraClip G4 SGC and CDS IFU.2019.","key":"e_1_2_9_9_1"},{"doi-asserted-by":"publisher","key":"e_1_2_9_10_1","DOI":"10.1016\/j.jacc.2015.05.049"},{"doi-asserted-by":"publisher","key":"e_1_2_9_11_1","DOI":"10.1016\/j.echo.2007.02.003"},{"doi-asserted-by":"publisher","key":"e_1_2_9_12_1","DOI":"10.1016\/j.echo.2011.02.005"},{"doi-asserted-by":"publisher","key":"e_1_2_9_13_1","DOI":"10.1007\/s12471-016-0930-7"},{"issue":"5","key":"e_1_2_9_14_1","first-page":"E130","article-title":"The first 4 years of Postmarketing safety surveillance related to the MitraClip device: a United States Food and Drug Administration MAUDE experience","volume":"32","author":"Mahabir CA","year":"2020","journal-title":"J Invasive Cardiol"},{"volume-title":"Pinwheeling \u2010 operator recognition and transcatheter repair","year":"2019","author":"Sorajja P","key":"e_1_2_9_15_1"},{"doi-asserted-by":"publisher","key":"e_1_2_9_16_1","DOI":"10.1111\/joic.12326"},{"doi-asserted-by":"publisher","key":"e_1_2_9_17_1","DOI":"10.1093\/eurjhf\/hfr141"},{"doi-asserted-by":"publisher","key":"e_1_2_9_18_1","DOI":"10.1093\/ehjci\/jey067"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.29323","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccd.29323","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.29323","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T17:19:42Z","timestamp":1693588782000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.29323"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10,12]]},"references-count":17,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2021,3]]}},"alternative-id":["10.1002\/ccd.29323"],"URL":"https:\/\/doi.org\/10.1002\/ccd.29323","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"type":"print","value":"1522-1946"},{"type":"electronic","value":"1522-726X"}],"subject":[],"published":{"date-parts":[[2020,10,12]]},"assertion":[{"value":"2020-04-30","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-09-28","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-10-12","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}