The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

Interventions for valvular disease and heart failure

Staged clasping with PASCAL device for mitral regurgitation with leaflet laceration

EuroIntervention 2020;16:e303-e304. DOI: 10.4244/EIJ-D-19-00897

1. Herzzentrum, Medizinische Klinik und Poliklinik II, Universitätsklinikum Bonn, Bonn, Germany




Figure 1. Independent clasping to capture a leaflet defect. A) Laceration in the medial half of the anterior mitral leaflet (arrow), caused by grasping with the MitraClip XTR device. B) Two jets of mitral regurgitation: one is due to leaflet tethering, the other (arrowheads) is through the iatrogenic laceration (arrow). C) Simultaneous clasping of the leaflets (arrows). D) Residual regurgitation (arrowheads) through the mitral leaflet laceration. E) The posterior leaflet was independently attached (arrow). Then, the PASCAL system was directed to the anterior leaflet to maximise leaflet insertion and cover the laceration (yellow arrow). F) No residual regurgitation through ...

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