Transcatheter Therapies for Treating Tricuspid Regurgitation
- PMID: 27081024
- DOI: 10.1016/j.jacc.2016.01.063
Transcatheter Therapies for Treating Tricuspid Regurgitation
Abstract
Tricuspid valve (TV) disease has been relatively neglected, despite the known association between severe tricuspid regurgitation (TR) and mortality. Few patients undergo isolated tricuspid surgery, which remains associated with high in-hospital mortality rates, particularly in patients with prior left-sided valve surgery. Patients with severe TR are often managed medically for years before TV repair or replacement. Current guidelines recommend TV repair in the presence of a dilated tricuspid annulus at the time of a left-sided valve surgical intervention, even if regurgitation is mild. This proposed algorithm aims to prevent the inevitable progression to severe TR and the need for a second surgical intervention. Recently, novel transcatheter treatment options were developed for treating patients with severe TR and right heart failure with prohibitive surgical risk. Here we describe currently available transcatheter treatment options for severe TR implanted at different levels: the junction between vena cavae and right atrium; the tricuspid annulus; or between TV leaflets, improving coaptation.
Keywords: cardiac catheterization; echocardiography; pulmonary hypertension; right ventricular dysfunction; tricuspid valve; tricuspid valve insufficiency.
Copyright © 2016 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.
Similar articles
-
Imaging Needs in Novel Transcatheter Tricuspid Valve Interventions.JACC Cardiovasc Imaging. 2018 May;11(5):736-754. doi: 10.1016/j.jcmg.2017.10.029. JACC Cardiovasc Imaging. 2018. PMID: 29747849 Review.
-
Percutaneous tricuspid valve replacement: orthotopic and heterotopic valves.Minerva Cardioangiol. 2018 Dec;66(6):729-734. doi: 10.23736/S0026-4725.18.04659-5. Epub 2018 Mar 28. Minerva Cardioangiol. 2018. PMID: 29589668 Review.
-
Interventional Treatment of Severe Tricuspid Regurgitation: Early Clinical Experience in a Multicenter, Observational, First-in-Man Study.Circ Cardiovasc Interv. 2018 Feb;11(2):e006061. doi: 10.1161/CIRCINTERVENTIONS.117.006061. Circ Cardiovasc Interv. 2018. PMID: 29445001
-
The International Multicenter TriValve Registry: Which Patients Are Undergoing Transcatheter Tricuspid Repair?JACC Cardiovasc Interv. 2017 Oct 9;10(19):1982-1990. doi: 10.1016/j.jcin.2017.08.011. JACC Cardiovasc Interv. 2017. PMID: 28982563
-
Transcatheter Tricuspid Valve Repair With a New Transcatheter Coaptation System for the Treatment of Severe Tricuspid Regurgitation: 1-Year Clinical and Echocardiographic Results.JACC Cardiovasc Interv. 2017 Oct 9;10(19):1994-2003. doi: 10.1016/j.jcin.2017.06.036. Epub 2017 Aug 2. JACC Cardiovasc Interv. 2017. PMID: 28780036
Cited by
-
A multifunctional soft robot for cardiac interventions.Sci Adv. 2023 Oct 27;9(43):eadi5559. doi: 10.1126/sciadv.adi5559. Epub 2023 Oct 25. Sci Adv. 2023. PMID: 37878705 Free PMC article.
-
Tricuspid valve repair concomitant with mitral valve surgery: a systematic review and meta-analysis.Int J Surg. 2023 Jul 1;109(7):2082-2095. doi: 10.1097/JS9.0000000000000396. Int J Surg. 2023. PMID: 37300887 Free PMC article.
-
Treatment of severe tricuspid regurgitation induced by permanent pacemaker lead: Transcatheter tricuspid valve replacement with the guidance of 3-dimensional printing.Front Cardiovasc Med. 2023 Mar 22;10:1030997. doi: 10.3389/fcvm.2023.1030997. eCollection 2023. Front Cardiovasc Med. 2023. PMID: 37034329 Free PMC article.
-
The Global Burden of Valvular Heart Disease: From Clinical Epidemiology to Management.J Clin Med. 2023 Mar 10;12(6):2178. doi: 10.3390/jcm12062178. J Clin Med. 2023. PMID: 36983180 Free PMC article. Review.
-
4-Year Follow-Up after Transatrial Transcatheter Tricuspid Valve Replacement with the LuX-Valve.J Cardiovasc Dev Dis. 2022 Dec 4;9(12):435. doi: 10.3390/jcdd9120435. J Cardiovasc Dev Dis. 2022. PMID: 36547432 Free PMC article.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Other Literature Sources