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Video Supplement: Impella 5.5–Facilitated Mitral Transcatheter Edge-to-Edge Repair in Cardiogenic Shock as a Bridge to Transplant Evaluation

Arnav Kumar, MD, MSCR
Hannan Chaugle, MD
11/11/2026

Video. Impella 5.5 (Abiomed) facilitated left ventricular unloading and A2-P2 leaflet approximation, enabling successful MitraClip XTW (Abbott) placement in a patient with cardiogenic shock, dilated left ventricle, and severe mitral regurgitation. A2 = A2 scallop of the anterior mitral leaflet; EF = ejection fraction; LV = left ventricle; MR = mitral regurgitation; P2 = P2 scallop of the posterior mitral leaflet; M-TEER = transcatheter edge-to-edge mitral repair; TEE = transesophageal echocardiogram; TTE = transthoracic echocardiogram; XTW = MitraClip extra-wide clip.

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