Key result
A stepwise approach with initial annuloplasty and subsequent transcatheter edge-to-edge repair can be a worthwhile alternative for patients with very advanced tricuspid regurgitation.
Why the study?
TEER is widely used for tricuspid regurgitation in patients with prohibitive surgical risk but may not be feasible in advanced cases.
Case Report
A stepwise approach combining initial annuloplasty followed by TEER may offer a feasible alternative for patients with very advanced tricuspid regurgitation who are not candidates for TEER alone.
Answers are grounded in this paper and cite their sources.
May support staged annuloplasty-TEER in select advanced TR; hypothesis-generating and requires prospective validation before clinical adoption.
Transcatheter edge-to-edge repair (TEER) is the most widely used approach for tricuspid regurgitation in patients with prohibitive surgical risk. However, TEER might not be feasible in advanced tricuspid regurgitation. In such cases, a stepwise approach with initial annuloplasty and subsequent TEER can be a worthwhile alternative, which is reported in this series. (Level of Difficulty: Intermediate.)
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Ivannikova et al. (2023) conducted a case report in Very advanced tricuspid regurgitation. Stepwise approach with initial annuloplasty and subsequent TEER was evaluated. A stepwise approach with initial annuloplasty and subsequent transcatheter edge-to-edge repair can be a worthwhile alternative for patients with very advanced tricuspid regurgitation.
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