{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:14:30Z","timestamp":1787019270302,"version":"build-2736575974"},"reference-count":38,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Innovations\ufffd(Phila)"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Up to 28% of patients may need mitral valve (MV) surgery after transcatheter edge-to-edge repair (TEER). This study evaluates the outcomes of minimally invasive MV surgery after TEER. Methods: International multicenter registry of minimally invasive MV surgery after TEER between 2013 and 2020. Subgroups were stratified by the number of devices implanted (\u22641 vs &gt;1), as well as time interval from TEER to surgery (\u22641 year vs &gt;1 year). Results: A total of 56 patients across 13 centers were included with a mean age of 73\u2009\u00b1\u200911 years, and 50% were female. The median Society of Thoracic Surgeons Predicted Risk of Mortality (STS PROM) score for MV replacement was 8% (Q1-Q3 = 5% to 11%) and the ratio of observed to expected mortality was 0.9. The etiology of mitral regurgitation (MR) prior to TEER was primary MR in 75% of patients and secondary MR in 25%. There were 30 patients (54%) who had &gt;1 device implanted. The median time between TEER and surgery was 252 days (33 to 636 days). Hemodynamics, including MR severity, MV area, and mean gradient, significantly improved after minimally invasive surgery and sustained to 1-year follow-up. In-hospital and 30-day mortality was 7.1%, and 1-year actuarial survival was 85.6%\u2009\u00b1\u20096%. Conclusions: Minimally invasive MV surgery after TEER may be achieved as predicted by the STS PROM. Most patients underwent MV replacement instead of repair. As TEER is applied more widely, patients should be informed about the potential need for surgical intervention over time after TEER. These discussions will allow better informed consent and post-procedure planning.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15569845211070568","type":"journal-article","created":{"date-parts":[[2022,2,26]],"date-time":"2022-02-26T09:49:11Z","timestamp":1645868951000},"page":"42-49","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Minimally Invasive Mitral Valve Surgery After Transcatheter Edge-to-Edge Repair"],"prefix":"10.1177","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8973-9335","authenticated-orcid":false,"given":"Alejandro","family":"Pizano","sequence":"first","affiliation":[{"name":"The University of Texas Health Science Center at Houston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5486-6243","authenticated-orcid":false,"given":"Ramon","family":"Riojas","sequence":"additional","affiliation":[{"name":"University of California San Francisco, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gorav","family":"Ailawadi","sequence":"additional","affiliation":[{"name":"The University of Michigan Medical School, Ann Arbor, MI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert L.","family":"Smith","sequence":"additional","affiliation":[{"name":"Baylor Scott & White Heart and Vascular Hospital, Dallas, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy","family":"George","sequence":"additional","affiliation":[{"name":"Baylor Scott & White Heart and Vascular Hospital, Dallas, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc W.","family":"Gerdisch","sequence":"additional","affiliation":[{"name":"Franciscan Health Heart Center, Indianapolis, IN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Di Eusanio","sequence":"additional","affiliation":[{"name":"Lancisi Cardiovascular Center\u2014OORR, Polytechnic University of Marche, Ancona, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mario","family":"Castillo-Sang","sequence":"additional","affiliation":[{"name":"Saint Elizabeth Health Care, Edgewood, KY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Basel","family":"Ramlawi","sequence":"additional","affiliation":[{"name":"Valley Health System, Winchester, VA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evelio","family":"Rodriguez","sequence":"additional","affiliation":[{"name":"Saint Thomas Heart Hospital, Nashville, TN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael A.","family":"Morse","sequence":"additional","affiliation":[{"name":"Saint Thomas Heart Hospital, Nashville, TN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neelan S.","family":"Doolabh","sequence":"additional","affiliation":[{"name":"University of Texas Southwestern Medical Center at Dallas, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael E.","family":"Jessen","sequence":"additional","affiliation":[{"name":"University of Texas Southwestern Medical Center at Dallas, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lawrence","family":"Wei","sequence":"additional","affiliation":[{"name":"West Virginia University, Morgantown, WV, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael W. A.","family":"Chu","sequence":"additional","affiliation":[{"name":"Lawson Health Sciences Centre, Western University, London, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paolo","family":"Berretta","sequence":"additional","affiliation":[{"name":"Lancisi Cardiovascular Center\u2014OORR, Polytechnic University of Marche, Ancona, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erik","family":"Cura Stura","sequence":"additional","affiliation":[{"name":"University of Turin\u2014Citt\u00e0 della Salute e della Scienza, Torino, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefano","family":"Salizzoni","sequence":"additional","affiliation":[{"name":"University of Turin\u2014Citt\u00e0 della Salute e della Scienza, Torino, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mauro","family":"Rinaldi","sequence":"additional","affiliation":[{"name":"University of Turin\u2014Citt\u00e0 della Salute e della Scienza, Torino, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tsuyoshi","family":"Kaneko","sequence":"additional","affiliation":[{"name":"Brigham and Women\u2019s Hospital, Harvard Medical School, Boston, \rMA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gilbert H. L.","family":"Tang","sequence":"additional","affiliation":[{"name":"Mount Sinai Health System, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joanna","family":"Chikwe","sequence":"additional","affiliation":[{"name":"Cedars-Sinai Medical Center, Los Angeles, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Roach","sequence":"additional","affiliation":[{"name":"Cedars-Sinai Medical Center, Los Angeles, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alfredo","family":"Trento","sequence":"additional","affiliation":[{"name":"Cedars-Sinai Medical Center, Los Angeles, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vinay","family":"Badhwar","sequence":"additional","affiliation":[{"name":"West Virginia University, Morgantown, WV, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tom C.","family":"Nguyen","sequence":"additional","affiliation":[{"name":"University of California San Francisco, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,2,26]]},"reference":[{"key":"bibr1-15569845211070568","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1806640"},{"key":"bibr2-15569845211070568","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2016.12.027"},{"key":"bibr3-15569845211070568","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2017.09.015"},{"key":"bibr4-15569845211070568","doi-asserted-by":"publisher","DOI":"10.1097\/IMI.0000000000000571"},{"key":"bibr5-15569845211070568","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehv627"},{"key":"bibr6-15569845211070568","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2020.06.053"},{"key":"bibr7-15569845211070568","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2019.03.023"},{"key":"bibr8-15569845211070568","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000022195"},{"key":"bibr9-15569845211070568","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2020.11.018"},{"key":"bibr10-15569845211070568","doi-asserted-by":"publisher","DOI":"10.1186\/s13019-019-0891-1"},{"key":"bibr11-15569845211070568","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.27632"},{"key":"bibr12-15569845211070568","doi-asserted-by":"publisher","DOI":"10.1053\/j.semtcvs.2018.03.005"},{"key":"bibr13-15569845211070568","doi-asserted-by":"publisher","DOI":"10.4244\/EIJV12SYA27"},{"key":"bibr14-15569845211070568","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezs334"},{"key":"bibr15-15569845211070568","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2009.12.048"},{"key":"bibr16-15569845211070568","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezs302"},{"key":"bibr17-15569845211070568","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezt535"},{"key":"bibr18-15569845211070568","doi-asserted-by":"publisher","DOI":"10.1007\/s10047-014-0814-9"},{"key":"bibr19-15569845211070568","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2015.08.086"},{"key":"bibr20-15569845211070568","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2018.03.016"},{"key":"bibr21-15569845211070568","volume":"2019","author":"Olsthoorn J","year":"2019","journal-title":"Multimed Man Cardiothorac Surg"},{"key":"bibr22-15569845211070568","doi-asserted-by":"publisher","DOI":"10.21037\/acs.2018.10.07"},{"key":"bibr23-15569845211070568","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2020.06.058"},{"key":"bibr24-15569845211070568","doi-asserted-by":"publisher","DOI":"10.1111\/jocs.12877"},{"key":"bibr25-15569845211070568","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2009.08.063"},{"key":"bibr26-15569845211070568","doi-asserted-by":"publisher","DOI":"10.1093\/icvts\/ivy361"},{"key":"bibr27-15569845211070568","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(16)30338-2"},{"key":"bibr28-15569845211070568","doi-asserted-by":"publisher","DOI":"10.14503\/THIJ-13-3626"},{"key":"bibr29-15569845211070568","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2016.01.084"},{"key":"bibr30-15569845211070568","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2010.05.055"},{"key":"bibr31-15569845211070568","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2018.05.074"},{"key":"bibr32-15569845211070568","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2015.08.050"},{"key":"bibr33-15569845211070568","doi-asserted-by":"publisher","DOI":"10.1253\/circj.CJ-19-0175"},{"key":"bibr34-15569845211070568","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2020.05.145"},{"key":"bibr35-15569845211070568","doi-asserted-by":"publisher","DOI":"10.1001\/jamacardio.2020.2221"},{"key":"bibr36-15569845211070568","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2015.05.046"},{"key":"bibr37-15569845211070568","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehv333"},{"key":"bibr38-15569845211070568","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2015.10.018"}],"container-title":["Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15569845211070568","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15569845211070568","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15569845211070568","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T11:18:00Z","timestamp":1777461480000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15569845211070568"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1]]},"references-count":38,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,1]]}},"alternative-id":["10.1177\/15569845211070568"],"URL":"https:\/\/doi.org\/10.1177\/15569845211070568","relation":{},"ISSN":["1556-9845","1559-0879"],"issn-type":[{"value":"1556-9845","type":"print"},{"value":"1559-0879","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,1]]}}}