Reply to Letter to the Editor: “Critical Appraisal of Caval Valve Implantation Procedure in 7 Cases of Torrential Tricuspid Regurgitation”

Hüseyin Bozbaş; Cem Barçın; Mohamed Asfour; Savaş Çelebi; Ersin Çam; Erdoğan İlkay

doi:10.14744/anatoljcardiol.2025.5629

January 1, 2026The Anatolian Journal of CardiologyOpen Access

Reply to Letter to the Editor: “Critical Appraisal of Caval Valve Implantation Procedure in 7 Cases of Torrential Tricuspid Regurgitation”

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Key Points

To address clinical considerations, procedural feasibility, and limitations of caval valve implantation in patients with torrential tricuspid regurgitation.
Retrospective review evaluating N=7 patients who underwent caval valve implantation for torrential tricuspid regurgitation.
Evaluated procedural risk using the 8-parameter TRI-SCORE alongside hemodynamic and functional parameters.
Caval valve implantation was completed in an average duration of 30-50 minutes under conscious sedation and local anesthesia, followed by a hospital stay of 3-5 days.
No major procedural complications occurred across the series, though one patient with severe baseline hepatic and renal dysfunction and a high TRI-SCORE of 48 died.

Structured PICO

P

Population

7 patients with torrential tricuspid regurgitation

I

Intervention

Caval valve implantation (CAVI)

Limitations

Retrospective design
Small sample size (7 patients)
Lack of objective before-and-after comparisons (exercise testing, quality-of-life scores)
Lack of post-procedural hemodynamic and echocardiographic follow-up data

Implication

This reply acknowledges the limitations of a small retrospective case series on caval valve implantation for torrential tricuspid regurgitation and highlights the need for future randomized controlled trials.

Abstract

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Cite This Study

Bozbaş et al. (2026) studied this question.

synapsesocial.com/papers/696321e591e05aa366cb8304 https://doi.org/10.14744/anatoljcardiol.2025.5629

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Reply to Letter to the Editor: “Critical Appraisal of Caval Valve Implantation Procedure in 7 Cases of Torrential Tricuspid Regurgitation”

Key Points

Structured PICO

Limitations

Implication

Abstract

Discussion

Cite This Study

Reply to Letter to the Editor: “Critical Appraisal of Caval Valve Implantation Procedure in 7 Cases of Torrential Tricuspid Regurgitation”

Key Points

Structured PICO

Limitations

Implication

Abstract

Discussion

Cite This Study

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