Dr. Vaibhav J. Bhastana

MitraClip / Transcatheter Edge-to-Edge Repair (TEER)

MitraClip / Transcatheter Edge-to-Edge Repair (TEER) is a minimally invasive treatment for selected patients with significant mitral regurgitation, a condition in which the mitral valve allows blood to leak backward.

During TEER, a small clip is guided to the heart through a catheter, usually through a vein in the groin. The clip brings the mitral valve leaflets closer together, helping reduce the leak and improve the flow of blood through the heart.

Mitral regurgitation can cause breathlessness, tiredness, reduced exercise tolerance, swelling of the legs, and other symptoms. For appropriately selected patients, MitraClip / TEER may provide a less invasive treatment option when conventional mitral valve surgery may not be suitable or may carry increased risk.

A detailed clinical assessment and advanced cardiac imaging are important to determine the severity and cause of mitral regurgitation, assess valve anatomy, and establish whether TEER is an appropriate treatment option.

Who It’s For?

Who May Need MitraClip / TEER?

MitraClip / TEER may be considered for selected patients with significant symptomatic mitral regurgitation after detailed clinical and imaging assessment.

It may be considered for patients who:

Have significant mitral regurgitation.
Experience breathlessness, fatigue, swelling, or reduced exercise tolerance.
Continue to have symptoms despite appropriate medical treatment.
May have increased risk with conventional mitral valve surgery.
Are elderly, frail, or have other significant medical conditions.
Have mitral valve anatomy suitable for TEER.

Suitability is determined individually after specialist evaluation and appropriate cardiac imaging.

Benefits

Benefits of MitraClip / Transcatheter Edge-to-Edge Repair (TEER)

For appropriately selected patients, MitraClip / TEER may offer several potential benefits.

Minimally Invasive Approach

Performed through a catheter, usually via a vein in the groin, without conventional chest opening.

Improvement in Symptoms

Reducing the mitral valve leak may help improve breathlessness, fatigue, and exercise tolerance.

Potentially Faster Recovery

Selected patients may begin mobilisation and recovery sooner than with conventional surgery.

Shorter Hospital Stay

Many patients may return home relatively soon after the procedure, depending on recovery.

Option for Higher-Risk Patients

TEER may be considered when conventional mitral valve surgery carries increased risk.

Individualised Treatment Planning

Treatment planning is based on valve anatomy, imaging findings, symptoms, and overall health.

Outcomes of Procedure Delay

What Happens When MitraClip / TEER Evaluation Is Delayed?

Worsening breathlessness, fatigue, and swelling of the legs.
Increasing strain on the heart and progression of heart failure.
Higher risk of hospitalisation for worsening symptoms or fluid retention.
Increased risk of irregular heart rhythms, including atrial fibrillation.
Rising pressure in the lungs due to significant mitral valve leakage.
Declining exercise capacity and ability to perform daily activities.
Potential progression of heart-related complications if left untreated.

Procedure Timeline

Your MitraClip / TEER Journey: From Evaluation to Recovery

A step-by-step overview of assessment, treatment, recovery, and follow-up.

Step 1

Specialist Consultation

Your symptoms, medical history, previous cardiac reports, and treatment needs are reviewed.

Step 2

Detailed Mitral Valve Assessment

Echocardiography, including transoesophageal imaging when required, helps assess the mitral valve and its anatomy.

Step 3

Heart-Team Treatment Planning

Clinical and imaging findings are reviewed to determine whether TEER is appropriate and to plan the procedure.

Step 4

MitraClip / TEER Procedure

A catheter is guided through a vein to the heart, where the clip is positioned on the mitral valve leaflets using live imaging to reduce the valve leak.

Step 5

Recovery & Observation

Heart rhythm, valve function, access site, symptoms, and overall recovery are monitored after the procedure.

Step 6

Follow-Up & Long-Term Care

Follow-up visits help monitor mitral valve function, symptoms, medications, and overall cardiovascular health.

What Sets Us Apart

Why Choose Our Mitral Valve & Structural Heart Care?

Specialist-led assessment, advanced imaging, careful procedural planning, and structured follow-up for patients considering TEER.

Specialised TEER Expertise

Specialist evaluation for selected patients with significant mitral regurgitation who may benefit from catheter-based repair.

Advanced Mitral Valve Imaging

Detailed echocardiographic assessment helps evaluate valve anatomy and determine whether TEER is suitable.

Complex Case Assessment

Individualised evaluation for patients with complex conditions or increased risk with conventional surgery.

Structural Heart Expertise

Expertise across catheter-based structural heart procedures and minimally invasive valve treatments.

Personalised Treatment Planning

Treatment decisions are based on valve anatomy, symptoms, medical history, and individual clinical needs.

Multidisciplinary Heart-Team Care

Complex cases can be reviewed through a coordinated approach involving relevant cardiac specialists.

What Our Patients Say

The staff behaviour is very good and the doctor’s treatment is excellent.

Ansh Kapuriya

Happy Patient

Very satisfied with the consultation. Minimal wait time, clear communication, and effective treatment.

Chandni Vegad

Happy Patient

Very smooth experience from consultation to follow-up. Clear communication and effective treatment.

Prateeksha Kini

Happy Patient

Great experience overall. Accurate diagnosis and very reassuring attitude.

Raj Thakkar

Happy Patient

Good doctor. Very understanding. Highly recommended.

Maanini Thakker

Happy Patient

Frequently Asked Questions

MitraClip / Transcatheter Edge-to-Edge Repair (TEER) is a minimally invasive procedure used to reduce leakage through the mitral valve in selected patients with mitral regurgitation.

MitraClip refers to a clip device, while TEER describes the transcatheter edge-to-edge repair technique. The terms are commonly used together for this type of catheter-based mitral valve repair.

TEER may be considered for selected patients with significant symptomatic mitral regurgitation. Suitability depends on the cause and severity of the valve leak, symptoms, overall health, surgical risk, and valve anatomy.

No. MitraClip / TEER is a catheter-based procedure and generally does not require conventional chest opening or open-heart surgery.

A thin catheter is usually introduced through a vein in the groin and guided to the heart. Using live imaging, the clip is positioned on the mitral valve leaflets to reduce the leak.

Procedure duration varies depending on the patient's anatomy, clinical condition, and procedural complexity. Your specialist can provide more specific information after evaluation.

Evaluation may include echocardiography, often including transoesophageal echocardiography, along with ECG, blood tests, and other cardiac investigations as required.

Hospital stay varies depending on the procedure and individual recovery. Patients with an uncomplicated recovery may be discharged after a short period of observation.

Recovery varies between patients. Many patients can begin mobilisation early, with activity gradually increased according to medical advice.

Yes. Regular follow-up helps assess mitral valve function, residual leakage, symptoms, medications, and overall cardiovascular health.

Yes. Previous echocardiograms, cardiac scans, angiography reports, discharge summaries, and other relevant medical records can help the specialist understand your condition and plan the next steps.

MitraClip / Transcatheter Edge-to-Edge Repair (TEER)

MitraClip / Transcatheter Edge-to-Edge Repair (TEER)

Who May Need MitraClip / TEER?