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0001). Echocardiographic parameters such as anteroposterior annulus diameter decreased from 41.4 mm (baseline) to 36.0 and 35.3 mm at 30 days and one year, respectively (p0.0001). Twenty-five patients (69.4%) had baseline NYHA Class III/IV symptoms decreasing significantly to nine (25.0%) at 30 days and eight (22.2%) at one year post procedure (p0.0001). The ARTO transcatheter mitral valve repair system is both safe and effective in decreasing FMR up to one year post procedure. The ARTO transcatheter mitral valve repair system is both safe and effec