It was reported that a mitraclip procedure was performed to treat a mixed mitral regurgitation (mr) with grade of 4, posterior flail, prolapsed posterior leaflet, dilated left atrium.The mitraclip system was prepared as per instruction for use (ifu) and functioned as intended.During the procedure, the clip was inverted for re-alignment and attempt to get back into the atrium.Echocardiogram showed that one gripper did not raise and remained at 120 degrees.During re-positioning, the clip was caught in chordae and was able to be freed with standard troubleshooting but was noted to be difficult.It was noted that the cds was curved to approximately 110 degrees.After removal, the clip was inspected, showing that the gripper line was not on the gripper but had been pulled into the system.A replacement device was used to complete the procedure.Two clips were implanted, reducing mr to grade 3.There was no clinically significant delay in the procedure and no adverse patient effects.
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