Endovascular Low-Pass Filter: Performing Mitral Edge-to-Edge Repair With PASCAL Through an Inferior Vena Cava Filter

Matteo Biroli; Carlo Maria Giacari; Cristina Ferrari; Fabio Fazzari; Valentina Mantegazza; Federico De Marco

doi:10.1016/j.jaccas.2023.102062

Endovascular Low-Pass Filter: Performing Mitral Edge-to-Edge Repair With PASCAL Through an Inferior Vena Cava Filter

JACC Case Rep. 2023 Oct 12:26:102062. doi: 10.1016/j.jaccas.2023.102062. eCollection 2023 Nov 15.

Authors

Matteo Biroli^{1

2}, Carlo Maria Giacari¹, Cristina Ferrari¹, Fabio Fazzari¹, Valentina Mantegazza¹, Federico De Marco¹

Affiliations

¹ Centro Cardiologico Monzino, IRCCS, Milan, Italy.
² University of Milan, Milan, Italy.

Abstract

We present the case of an 82-year-old man with a history of inferior vena cava filter implantation and concomitant severe mitral regurgitation requiring transcatheter edge-to-edge repair. Despite being deemed ineligible for transfemoral access as technically challenging, he successfully underwent mitral transcatheter edge-to-edge repair after crossing and dilatation of the inferior vena cava filter. (Level of Difficulty: Intermediate.).

Keywords: cardiovascular disease; inferior vena cava filter; mitral valve; treatment; valve repair; x-ray fluoroscopy.