Transcatheter Tricuspid Regurgitation Repair-An Overview of Techniques and Eligible Patient Selection

Tricuspid regurgitation (TR) is frequently encountered in clinical practice. It is classified into primary TR (organic), which accounts for a minority of cases; and into secondary TR (functional), which has a higher prevalence. Although it can be asymptomatic for a long time, TR causes right ventric...

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Bibliographic Details
Published in:Journal of clinical medicine 2024-11, Vol.13 (22), p.6876
Main Authors: Mustafa, Edme Roxana, Marinescu, Daniela, Florescu, Cristina, Donoiu, Ionuț, Istrătoaie, Octavian
Format: Article
Language:English
Subjects:
Cardiac arrhythmia
Cardiac catheterization
Care and treatment
Chronic illnesses
Complications and side effects
Contraindications
Disease
Ejection fraction
Endocarditis
Heart failure
Heart valve replacement
Methods
Mortality
Pacemakers
Patients
Pulmonary arteries
Review
Success
Thrombosis
Transplants & implants
Tricuspid valve insufficiency
Veins & arteries
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Description
Summary:Tricuspid regurgitation (TR) is frequently encountered in clinical practice. It is classified into primary TR (organic), which accounts for a minority of cases; and into secondary TR (functional), which has a higher prevalence. Although it can be asymptomatic for a long time, TR causes right ventricle dysfunction and increases hospitalizations for heart failure and mortality. In most patients with severe, isolated TR, surgery is not indicated due to the high surgical risk. In the last 10 years, transcatheter tricuspid valve repair became feasible with the following good results: reduction in TR severity, reverse remodeling of the right heart chambers, improvement in symptoms and reduction in hospitalization time. This paper presents the main transcatheter techniques and data from relevant trials that used these techniques, focusing on patient characteristics that define eligibility and high probability of repair. Information is provided regarding the observed benefits and the complications.
ISSN:2077-0383
2077-0383
DOI:10.3390/jcm13226876