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December 2, 2019Expert Review of Cardiovascular Therapy

Developments in transcatheter tricuspid valve therapies

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Key result

Transcatheter tricuspid valve procedures show encouraging initial results for severe tricuspid regurgitation, though the field requires better patient selection and long-term data.

Why the study?

Transcatheter tricuspid valve procedures emerged as an alternative to surgery for symptomatic high-risk patients with severe tricuspid regurgitation, prompting a review of clinical evidence, imaging features, and device developments.

Design

Review

Authors

DVDavide VociVascular / Pulmonary VascularAPAlberto PozzoliCardiac SurgeryMMMizuki MiuraShibuya University Network

Discussion

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Implication

Transcatheter TV options expand alternatives for high-risk severe TR; leaves open optimal device selection and long-term outcomes pending randomized trials.

Structured PICO

P
Population
Symptomatic high-risk patients with severe tricuspid regurgitation
I
Intervention
Transcatheter tricuspid valve (TV) procedures (including devices targeting leaflet malcoaptation, annular dilatation, heterotopic valve implantation, and complete transcatheter replacement)

Transcatheter tricuspid valve therapies are emerging as a promising alternative to surgery for high-risk patients with severe tricuspid regurgitation, though long-term data and optimal patient selection strategies are still needed.

Limitations

  • Lack of long-term data
  • Need for accurate patient selection and early referral

Cite This Study

Voci et al. (2019) conducted a review in severe tricuspid regurgitation. Transcatheter tricuspid valve procedures was evaluated. Transcatheter tricuspid valve procedures show encouraging initial results for severe tricuspid regurgitation, though the field requires better patient selection and long-term data.

synapsesocial.com/papers/6a9a7f305804b0b5899e4ea7https://doi.org/10.1080/14779072.2019.1699056

Topics

Tricuspid regurgitation
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Percutaneous tricuspid valve‐In‐ring replacement for the treatment of recurrent severe tricuspid regurgitation2015 · 20 citations
  2. 2Comparative Anatomy of Mitral and Tricuspid Valve: What Can the Interventionlist Learn From the Surgeon2018 · 31 citations
  3. 3Guidelines on the management of valvular heart disease (version 2012)2012 · 2,019 citations
  4. 4Update on the Current Landscape of Transcatheter Options for Tricuspid Regurgitation Treatment2019 · 56 citations
  5. 5Transcatheter Versus Medical Treatment of Patients With Symptomatic Severe Tricuspid Regurgitation2019 · 479 citations