About transcatheter edge-to-edge repair

Transcatheter edge-to-edge repair (TEER) is a minimally invasive procedure that treats valve leakage by using a catheter inserted through the femoral vein and delivering one or more clips with two arms to capture and lock valve leaflets without requiring open-heart surgery. TEER uses the MitraClip, PASCAL and TriClip devices.

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How it works

During the TEER procedure, a catheter is inserted through a vein in the groin and guided to the heart. Once in place, a small clip is used to bring the valve leaflets together, helping these valve “doors” close more tightly and reducing the backward flow of blood. This process improves heart function and helps alleviate symptoms such as fatigue and shortness of breath. Afterward, patients feel more energized and can get back to enjoying their typical activities.

How to prepare

Preparing for the TEER procedure involves a few key steps to help everything go smoothly:

  • Consultation: Your healthcare team will conduct diagnostic tests like an echocardiogram, transesophageal echocardiogram, or CT scan to evaluate the condition of your heart. This helps determine whether TEER is the right option for you.
  • Medication management: Your doctor may adjust your current medications or prescribe new ones leading up to the procedure. Be sure to follow their instructions closely.
  • Fasting instructions: You will be instructed not to eat or drink anything for a set period before the procedure, typically starting at midnight the night before. Your care team will provide specific fasting guidelines.
  • Arrange transportation: As the procedure involves sedation performed under general anesthesia, you’ll need someone to drive you home afterward.
What to expect

After the TEER procedure, patients typically spend a day or two in the hospital for observation. During this time, your healthcare team will monitor your recovery and make sure your heart is functioning well. You may feel some soreness or bruising at the catheter insertion site, but this usually subsides within a few days.

Once home, rest is important. Avoid strenuous activities for a few weeks, but light activities like walking can help with circulation and support your recovery. You may need to take medications, such as blood thinners, to help prevent complications.

Maintaining a heart-healthy diet is also important. Avoid foods high in salt, saturated fats and sugars, as these can put extra strain on your heart. Instead, focus on balanced meals that include plenty of fruits, vegetables, lean proteins and whole grains.

An innovative alternative to open-heart valve surgery

The benefits of TEER for patients with valve regurgitation include less pain and a faster recovery time than with traditional surgical procedures. Improve your quality of life with this minimally invasive procedure and be home in just a couple of days.

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An innovative alternative to open-heart valve surgery

The benefits of TEER for patients with valve regurgitation include less pain and a faster recovery time than with traditional surgical procedures. Improve your quality of life with this minimally invasive procedure and be home in just a couple of days.

Find a physician

Frequently asked questions

Tricuspid valve regurgitation occurs when the tricuspid valve doesn’t close properly, allowing blood to flow backward into the right atrium of the heart. This can result in symptoms like fatigue, swelling in the legs or abdomen and shortness of breath.

Patients with mitral valve regurgitation who are not suitable for traditional open-heart surgery or those who have not improved with medication may be good candidates for TEER. Your healthcare provider will evaluate your condition and determine if this procedure is right for you.

Most patients can expect a shorter recovery time compared to open-heart surgery. Generally, patients return home within a couple days and can resume light activities soon after.

No, but it’s recommended that you follow a heart-healthy diet. Avoid foods that are high in salt, saturated fats and sugar. Eating a balanced diet with fruits, vegetables and lean proteins can help support your recovery.

Take the first step towards better heart health with Endeavor Health. Our compassionate team is here to help you understand your treatment options and provide you with the best possible care every step of the way.

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Take charge of your heart health today. Schedule an appointment with our expert cardiovascular team to discuss how we can help you manage your blood pressure and reduce your risks. Together, we’ll create a plan that keeps you healthy and thriving.

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Related treatment options

Transcatheter aortic valve implantation (TAVI)

TAVI, also known as TAVR (transcatheter aortic valve replacement), is a breakthrough for patients with aortic stenosis, offering a less invasive alternative to traditional valve replacement. This procedure involves threading an artificial valve through the blood vessels to replace the damaged aortic valve without requiring open-heart surgery.

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Transcatheter mitral valve replacement (TMVR)

TMVR is a catheter-based procedure used to replace a damaged mitral valve without the need for open-heart surgery. It is especially useful for patients with mitral valve disease who are not candidates for traditional surgical options.

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Balloon valvuloplasty

For narrowed valves, balloon valvuloplasty can be used to widen the valve opening, allowing for better blood flow. This is often recommended for patients with conditions like mitral or aortic stenosis.

Surgical mitral valve repair or replacement

When needed, our skilled cardiac surgeons perform open-heart surgery, using either biological or mechanical valves to replace the damaged heart valve. For certain cases, the procedure involves the heart-lung bypass machine to ensure patient safety and effective blood circulation throughout the surgery.

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At Endeavor Health Cardiovascular Institute, your heart health is our mission. With advanced technologies, compassionate care and a dedicated team of specialists, we’re here to help you on every step of your heart health journey.

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