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.).
Reference: Endovascular Low-Pass Filter: Performing Mitral Edge-to-Edge Repair With PASCAL Through an Inferior Vena Cava Filter.
Biroli M, Giacari CM, Ferrari C, Fazzari F, Mantegazza V, De Marco F. JACC Case Rep. 2023 Oct 12;26:102062.