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

IF 1.4 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Structural Heart Pub Date : 2024-01-01 DOI:10.1016/j.shj.2023.100234

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

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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.

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使用 PASCAL 精密系统进行二尖瓣经导管边缘到边缘修复：设备旋钮学和高级转向操作回顾

2022 年，美国食品和药物管理局批准了第二种用于治疗原发性二尖瓣反流的二尖瓣经导管边缘到边缘修复装置（PASCAL Precision 经导管瓣膜修复系统，Edwards Lifesciences 公司，加利福尼亚州欧文市）。PASCAL Precision 系统由导向鞘、植入系统和附件组成。植入系统由可转向导管、植入导管和植入体（PASCAL 或 PASCAL Ace）组成。导引鞘和可转向导管相互独立移动和弯曲，没有键控，可在三维空间自由旋转。本手稿概述了 PASCAL Precision 系统，并介绍了基本和高级转向操作，以促进有效、安全的二尖瓣经导管边缘到边缘修补术。

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来源期刊

Structural Heart Medicine-Cardiology and Cardiovascular Medicine

CiteScore

1.60

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0.00%

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