Significant Iatrogenic High Flow AV-Communication after MitraClip Treated with Endovascular Covered Stent

The percutaneous mitral valve repair therapy (MitraClip) constitutes an alternative for high peri- operative risk patients with severe symptomatic mitral regurgitation. Various complications, especially access -related have been described post mitraclip procedure as iatrogenic femoral arteriovenous fistulas with an incidence approximately of 0.1-1.5% following cardiac catheterization. We report a case of a 84-year-old male with a high flow AVcommunication at the puncture site after mitral clip procedure accompanied with decompensated heart failure symptoms and NTproBNP increase treated with endovascular covered stent.