Transesophageal echocardiography during transcatheter edge-to-edge tricuspid valve repair resulted in clinically relevant complications in 3.1% of patients.
Observational (n=64)
No
What is the rate of transesophageal echocardiography-related complications during transcatheter edge-to-edge tricuspid valve repair in high-risk patients?
TEE-related complications during TTVR are clinically relevant, occurring in 3.1% of patients, including major complications like esophageal perforation.
Objectives: We aimed to determine transesophageal echocardiography (TEE) related complications during Transcatheter edge-to-edge tricuspid valve repair (TTVR). Background: Transesophageal echocardiography is essential to guide structural heart disease (SHD) interventions. TTVR has become an evolving procedure for high-risk patients not suitable for surgery. Whether this complex procedure is associated with TEE related complications is not known so far. Methods: We retrospectively analyzed 64 consecutive patients undergoing TTVR between 2019 and 2021 with the TriClip system (Abbott, Chicago, IL, USA) at our center. All procedures were performed under general anesthesia (GA). TEE related complications were classified as major and minor complications. Results: Transesophageal echocardiography related complications were observed in two patients (3.1%) with one major complication (1.6%) and one minor complication (1.6%). In one patient perforation of the esophageal mucosa requiring red blood cell transfusion was observed, the other patient had hematemesis due to minor esophageal and gastric lesions without the need for blood transfusion. Both patients recovered during hospital stay with no persistent symptoms at discharge. Conclusions: Transesophageal echocardiography related complications during TTVR are clinically relevant occurring in 3.1% of the patients. Further investigations are needed to identify potential risk factors and patients at high risk to develop a TEE related complication in the course of TTVR.
Hellhammer et al. (Tue,) conducted a observational in Transcatheter edge-to-edge tricuspid valve repair (TTVR) (n=64). Transesophageal echocardiography (TEE) was evaluated on TEE related complications. Transesophageal echocardiography during transcatheter edge-to-edge tricuspid valve repair resulted in clinically relevant complications in 3.1% of patients.