Mitral Transcatheter Edge-to-Edge Repair With the PASCAL Precision System: Device Knobology and Review of Advanced Steering Maneuvers

Santiago Garcia; Sammy Elmariah; Robert J. Cubeddu; Firas Zahr; Mackram F. Eleid; Susheel K. Kodali; Puvi Seshiah; Rahul Sharma; D. Scott Lim

doi:10.1016/j.shj.2023.100234

Mitral Transcatheter Edge-to-Edge Repair With the PASCAL Precision System: Device Knobology and Review of Advanced Steering Maneuvers

Santiago Garcia, Sammy Elmariah, Robert J. Cubeddu, Firas Zahr, Mackram F. Eleid, Susheel K. Kodali, Puvi Seshiah, Rahul Sharma, D. Scott Lim

Knight Cardiovascular Institute

Research output: Contribution to journal › Article › peer-review

Abstract

In 2022, the Food and Drug Administration approved a second mitral transcatheter edge-to-edge repair device for the treatment of primary mitral regurgitation (PASCAL Precision Transcatheter Valve Repair System, Edwards Lifesciences, Irvine, CA). The PASCAL Precision system consists of a guide sheath, implant system, and accessories. The implant system consists of a steerable catheter, an implant catheter, and the implant (PASCAL or PASCAL Ace). The guide sheath and steerable catheter move and flex independently from each other and are not keyed, allowing for freedom of rotation in three dimensions. This manuscript provides an overview of the PASCAL Precision system and describes the basic and advanced steering maneuvers to facilitate effective and safe mitral transcatheter edge-to-edge repair.

Original language	English (US)
Article number	100234
Journal	Structural Heart
Volume	8
Issue number	1
DOIs	https://doi.org/10.1016/j.shj.2023.100234
State	Published - Jan 2024

Keywords

Mitral regurgitation
Pascal implant
TEER

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine

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10.1016/j.shj.2023.100234

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title = "Mitral Transcatheter Edge-to-Edge Repair With the PASCAL Precision System: Device Knobology and Review of Advanced Steering Maneuvers",

abstract = "In 2022, the Food and Drug Administration approved a second mitral transcatheter edge-to-edge repair device for the treatment of primary mitral regurgitation (PASCAL Precision Transcatheter Valve Repair System, Edwards Lifesciences, Irvine, CA). The PASCAL Precision system consists of a guide sheath, implant system, and accessories. The implant system consists of a steerable catheter, an implant catheter, and the implant (PASCAL or PASCAL Ace). The guide sheath and steerable catheter move and flex independently from each other and are not keyed, allowing for freedom of rotation in three dimensions. This manuscript provides an overview of the PASCAL Precision system and describes the basic and advanced steering maneuvers to facilitate effective and safe mitral transcatheter edge-to-edge repair.",

keywords = "Mitral regurgitation, Pascal implant, TEER",

author = "Santiago Garcia and Sammy Elmariah and Cubeddu, {Robert J.} and Firas Zahr and Eleid, {Mackram F.} and Kodali, {Susheel K.} and Puvi Seshiah and Rahul Sharma and Lim, {D. Scott}",

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year = "2024",

month = jan,

doi = "10.1016/j.shj.2023.100234",

language = "English (US)",

volume = "8",

journal = "Structural Heart",

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AU - Garcia, Santiago

AU - Elmariah, Sammy

AU - Cubeddu, Robert J.

AU - Zahr, Firas

AU - Eleid, Mackram F.

AU - Kodali, Susheel K.

AU - Seshiah, Puvi

AU - Sharma, Rahul

AU - Lim, D. Scott

PY - 2024/1

Y1 - 2024/1

N2 - In 2022, the Food and Drug Administration approved a second mitral transcatheter edge-to-edge repair device for the treatment of primary mitral regurgitation (PASCAL Precision Transcatheter Valve Repair System, Edwards Lifesciences, Irvine, CA). The PASCAL Precision system consists of a guide sheath, implant system, and accessories. The implant system consists of a steerable catheter, an implant catheter, and the implant (PASCAL or PASCAL Ace). The guide sheath and steerable catheter move and flex independently from each other and are not keyed, allowing for freedom of rotation in three dimensions. This manuscript provides an overview of the PASCAL Precision system and describes the basic and advanced steering maneuvers to facilitate effective and safe mitral transcatheter edge-to-edge repair.

AB - In 2022, the Food and Drug Administration approved a second mitral transcatheter edge-to-edge repair device for the treatment of primary mitral regurgitation (PASCAL Precision Transcatheter Valve Repair System, Edwards Lifesciences, Irvine, CA). The PASCAL Precision system consists of a guide sheath, implant system, and accessories. The implant system consists of a steerable catheter, an implant catheter, and the implant (PASCAL or PASCAL Ace). The guide sheath and steerable catheter move and flex independently from each other and are not keyed, allowing for freedom of rotation in three dimensions. This manuscript provides an overview of the PASCAL Precision system and describes the basic and advanced steering maneuvers to facilitate effective and safe mitral transcatheter edge-to-edge repair.

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KW - Pascal implant

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Mitral Transcatheter Edge-to-Edge Repair With the PASCAL Precision System: Device Knobology and Review of Advanced Steering Maneuvers

Abstract

Keywords

ASJC Scopus subject areas

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