Electrosurgical-laceration and stabilization of two PASCAL devices using artificial intelligence-based procedural planning: a case report.

Journal: European heart journal. Case reports
Published Date: Apr 25, 2025

Abstract

BACKGROUND: Mitral transcatheter edge-to-edge repair (M-TEER) has been established as a treatment for severe mitral regurgitation (MR). However, recurrent MR may occur after successful primary M-TEER. Repeat M-TEER procedures are challenging or even anatomically unfeasible. Therefore, novel techniques like electrosurgical laceration from the anterior leaflet and stabilization (ELASTA) of M-TEER devices are important.

Authors

  • Stephan Nienaber
    Department of Cardiology, Heart Center Cologne, University of Cologne, Faculty of Medicine and University Hospital, Kerpener Straße 62, 50937 Cologne, Germany.
  • Jonathan Curio
    Department of Cardiology, Heart Center Cologne, University of Cologne, Faculty of Medicine and University Hospital, Kerpener Straße 62, 50937 Cologne, Germany.
  • Elmar W Kuhn
    Department of Heart Surgery, Heart Center Cologne, University of Cologne, Faculty of Medicine and University Hospital, Kerpener Straße 62, 50937 Cologne, Germany.
  • Hendrik Wienemann
    Department of Cardiology, Heart Center Cologne, University of Cologne, Faculty of Medicine and University Hospital, Kerpener Straße 62, 50937 Cologne, Germany.
  • Matti Adam
    Department of Cardiology, Heart Center Cologne, University of Cologne, Faculty of Medicine and University Hospital, Kerpener Straße 62, 50937 Cologne, Germany.

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