Heart valve repair

A method comprising:

• delivering a catheter through the vasculature of a patient to a site of a native heart valve;
• puncturing a first leaflet and a second leaflet of the native heart valve;
• advancing the catheter through the first leaflet and the second leaflet such that a portion of the catheter is on a first side of the second leaflet opposite the first leaflet;
• deploying a first pad of a closure device on the first side of the second leaflet;
• retracting the catheter through the second leaflet and the first leaflet such that a second pad of the closure device is on a second side of the first leaflet opposite the second leaflet;
• and
• deploying the second pad on the second side of the first leaflet, wherein the first pad and the second pad are coupled together to hold the first leaflet and the second leaflet together.

A closure device for clamping leaflets of a native heart valve comprising:

• a first pad configured to be deployed on a first side of a first leaflet opposite a second leaflet;
• a second pad configured to be deployed on a second side of the second leaflet opposite the first leaflet;
• and
• a tether coupling the first pad and the second pad, the tether configured to extend through the first leaflet and the second leaflet.