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Review
. 2024 Dec 18;18(2):24-36.
doi: 10.17925/HI.2024.18.2.4. eCollection 2024.

Transcatheter Management of Tricuspid Regurgitation: A Review of Contemporary Evidence

Yasser M Sammour  1 , Muhammad Faraz Anwaar  1 , Francisco Cabral-Amador  2 , Jian Garcia  3 , Joe Aoun  1 , Sana Kazmi  4 , Nadeen Faza  1 , Stephen H Little  1 , Michael J Reardon  5 , Neal S Kleiman  1 , Sachin S Goel  1
Affiliations
Review

Transcatheter Management of Tricuspid Regurgitation: A Review of Contemporary Evidence

Yasser M Sammour et al. Heart Int. .

Abstract

Tricuspid regurgitation (TR) is a common valvular heart disease that is associated with increased morbidity and mortality. Traditional surgical interventions, though definitive, carry considerable complexities and risks, especially for high-risk patients, with in-hospital mortality rates of ˜9%. This resulted in the undertreatment of many patients with TR, creating a substantial unmet need. This has stimulated the development of transcatheter techniques, such as transcatheter tricuspid valve replacement, tricuspid edge-to-edge repair, tricuspid annuloplasty, caval valve implantation and many others, which offer less-i nvasive alternatives with promising early results and sustained benefits. This review provides a contemporary outlook on different transcatheter tricuspid valve interventions in patients with severe TR and assesses the existing clinical data regarding the safety and effectiveness of these devices in a rapidly expanding space.

Keywords: Caval valve implantation; Evoque; TRILUMINATE; TRISCEND; TriClip; TricValve; transcatheter tricuspid edge-to-edge repair; transcatheter tricuspid valve intervention; transcatheter tricuspid valve replacement; tricuspid regurgitation.

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Conflict of interest statement

Disclosures: Michael J Reardon is a consultant for Medtronic, Boston Scientific, Abbott and W L Gore & Associates. Neal S Kleiman is a local principal investigator in trials sponsored by Boston Scientific, Medtronic, Abbott and Edwards Lifesciences. Sachin S Goel is a consultant for Medtronic, W L Gore & Associates, J C Medical and the Speakers Bureau for Abbott Structural Heart. Yasser M Sammour, Muhammad Faraz Anwaar, Francisco Cabral-Amador, Jian Garcia, Joe Aoun, Sana Kazmi, Nadeen Faza and Stephen H Little have no financial or non-financial relationships or activities to declare in relation to this article.

Figures

Figure 1:
Figure 1:. Tricuspid transcatheter edge-to-edge repair systems
Figure 2:
Figure 2:. Transcatheter tricuspid valve replacement systems
Figure 3:
Figure 3:. Transcatheter heterotopic caval valve implantation systems
Figure 4:
Figure 4:. Transcatheter tricuspid annuloplasty devices
See this image and copyright information in PMC

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