# Percutaneous Edge-to-Edge Valve Interventions: The Role of Surgical Salvage in Complex Percutaneous Techniques

## TL;DR

This paper discusses the challenges of deciding between redo TEER or surgical repair for patients with failed percutaneous mitral valve interventions.

## Contribution

The paper highlights the need for multidisciplinary decision-making in managing TEER failures.

## Key findings

- TEER failures require careful evaluation by a multidisciplinary team.
- Surgical MV replacement can be considered in high-risk patients with good outcomes at advanced centers.

## Abstract

Hemodynamically significant mitral regurgitation (MR) is associated with major morbidity and mortality. Transcatheter edge-to-edge repair (TEER) is an interventional procedure for MR, which has gained popularity in recent years as an alternative solution to surgical valve repair in high-risk surgical candidates. However, there are no definite guidelines following TEER failures to determine if patients would benefit from a redo TEER or surgical mitral valve (MV) repair. Here, we present one such clinical dilemma.

In patients who have failed the TEER of the MV, surgical risk must be determined in conjunction with a multidisciplinary team, as surgical MV replacement may be performed at advanced centers in high-risk patients with good results.