13. Percutaneous intervention for structural heart disease

Randomized comparison of transcatheter edge-to-edge repair for degenerative mitral regurgitation in prohibitive surgical risk patients

CLASP IID
Objective
to evaluate the safety and effectiveness of the PASCAL system compared to MitraClip in patients with significant symptomatic degenerative MR
Study
randomised controlled trial
Population
patients with 3+ or 4+ degenerative MR at prohibitive surgical risk
Endpoints
the primary safety endpoint was a composite major adverse event (MAE) rate at 30 days. The primary effectiveness endpoint was the proportion of patients with MR ≤ 2+ at 6 months
Conclusion
the CLASP IID Trial demonstrated safety and effectiveness of the PASCAL system and met non-inferiority endpoints in comparison to MitraClip at 6 month follow-up
Scott Lim et al. JACC Cardiovasc Interv.2022; 15:2523-36
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