Volume 97, Issue 6 pp. 1230-1234
ORIGINAL STUDIES

Initial clinical experience with VersaCross transseptal system for transcatheter mitral valve repair

Neila Sayah MD

Neila Sayah MD

Department of Cardiology, Montreal Heart Institute, Montreal, Quebec City, Canada

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Francois Simon MD

Francois Simon MD

Department of Cardiology, Montreal Heart Institute, Montreal, Quebec City, Canada

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Patrick Garceau MD

Patrick Garceau MD

Department of Cardiology, Montreal Heart Institute, Montreal, Quebec City, Canada

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Anique Ducharme MSc, MD

Anique Ducharme MSc, MD

Department of Cardiology, Montreal Heart Institute, Montreal, Quebec City, Canada

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Arsene Basmadjian MSc, MD

Arsene Basmadjian MSc, MD

Department of Cardiology, Montreal Heart Institute, Montreal, Quebec City, Canada

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Denis Bouchard MD, PhD

Denis Bouchard MD, PhD

Department of Surgery, Montreal Heart Institute, Montreal, Quebec City, Canada

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Michel Pellerin MD

Michel Pellerin MD

Department of Surgery, Montreal Heart Institute, Montreal, Quebec City, Canada

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Raoul Bonan MD

Raoul Bonan MD

Department of Cardiology, Montreal Heart Institute, Montreal, Quebec City, Canada

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Anita W. Asgar MD, MSc

Corresponding Author

Anita W. Asgar MD, MSc

Department of Cardiology, Montreal Heart Institute, Montreal, Quebec City, Canada

Correspondence

Anita W. Asgar, MD, MSc, Division of Cardiology, Montreal Heart Institute, Universite de Montreal, 5000 rue Belanger, Montreal, QC, H1T 1C8.

Email: [email protected]

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First published: 11 November 2020
Citations: 10
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Abstract

Objectives

The aim of this study is to describe the initial experience with versacross transseptal (TS) system for transseptal puncture for the transcatheter mitral valve repair using the MitraClip device.

Background

Transeptal puncture is a key step in transcatheter mitral valve repair (MVR) and the use of the VersaCross system comprised of a sheath, a dilator and a radiofrequency wire has not been previously described.

Methods

Prospective single center study of consecutive patients undergoing transcatheter mitral valve repair with the MitraClip device were included. Targeted TS puncture was performed under transesophageal echocardiographic (TEE) guidance. Baseline demographics, procedural characteristics, and major adverse procedural events were collected.

Results

Twenty-five consecutive patients underwent transseptal puncture using the VersaCross TS system. Transseptal puncture was successful in 100% of patients. The mean time for TS puncture was 3 3 ± 1.6 min with no major adverse procedural events. The mean time from insertion of the VersaCross system to insertion of the MitraClip guide catheter was 3.8 ± 3.0 minutes.

Conclusion

The VersaCross TS system was successful in all patients for MitraClip procedure with no adverse procedural events and may be associated with increased procedural efficiency.

DATA AVAILABILITY STATEMENT

The data that support the findings of this study are available from the corresponding author upon reasonable request.

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