Basic Mitraclip Steering Tweetorial. Device View. (1/6) for fellows and whoever! Let's Start with M Knob. After the clip is advanced in to the LA, this is the typical maneuver to steer down to the valve. #UABStructural

Now Anterior - Posterior torque. Clockwise will move anterior, but note it will also lose height. (2/6)

Now lateral to medial movement. Push the entire system in to go lateral and pull it back to go medial. Typically done in the BICOMmissural view. (3/6)

Plus (+) Knob is often used to steer off the aorta. In subsequent tweetorials we will go in to advanced steering where (+) is important to obtain a perpendicular approach and optimize grasp. (4/6)

Rarely used to gain height. A knob will move the clip anterior and superior to the valve plane. (5/6)

Rarely used to shed height P Knob will move the clip posterior and down towards the valve. (6/6)

Nex part echo and advanced steering. @MadhuraMyla @DocEBROhimi @PhillipASmithMD @BaranAksutMD @MouhamedAmr1 @HassanAlkhawam @TEWatts3 @ShanePrejeanMD @AshleyReed_RT @RaeganWhite6 @Katie_Evatt @_C9_H13_NO3 @nnishank52 @Dr_Almubarak @pannvar @KyleEudaileyMD @GilbertTangMD

Excellent tutorial. Find these few months ago on Google. Now i know who is the genius behind those

@wordfinga The problem is not the technique itself; it’s nice! But the basic tenets on which M-TEER is based upon, which are not so clear in many senses, same for DMR (lack of annuloplasty ring, unknown long-term durability), and FMR (COAPT as one of the most corrupt trials I’ve ever seen).