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

Authors :: Garcia S
Elmariah S
Cubeddu RJ
Zahr F
Eleid MF
Kodali SK
Seshiah P
Sharma R
Lim DS
Source :: Structural heart : the journal of the Heart Team [Struct Heart] 2023 Nov 18; Vol. 8 (1), pp. 100234. Date of Electronic Publication: 2023 Nov 18 (Print Publication: 2024).
Publication Year :: 2023
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.<br />Competing Interests: S. Garcia, S. Elmariah, R. Cubeddu, F. Zahr, S. K. Kodali, R. Sharma, and D. S. Lim: institutional grant support from Edwards Lifesciences. Other authors have nothing to disclose.<br /> (© 2023 The Author(s).)

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