Anesthesia Considerations for Transcatheter Tricuspid Valve Repair and Replacement

Tricuspid regurgitation is a highly prevalent disease associated with significant morbidity and mortality. Historically, many patients went untreated due to the lack of effective surgical options, high operative risks, and the presence of multiple comorbidities. The emergence of transcatheter valve technologies has transformed this landscape, driving rapid advancements in transcatheter tricuspid valve interventions. Early data indicate promising short- and medium-term outcomes for several devices, though many are still in the early stages of clinical testing. As these interventions become more widely accessible, a thorough understanding of the devices, anesthesia considerations, and potential complications is essential for delivering optimal patient care. This manuscript will present 3 cases of transcatheter tricuspid interventions and review tricuspid valve regurgitation, current techniques for transcatheter tricuspid repair and replacement and the anesthesia considerations for these procedures.