Caval valve implantation (CAVI) is reviewed as a technically simple, emerging alternative for patients with severe tricuspid regurgitation unsuitable for other transcatheter devices.
This review highlights the potential of bicaval valve implantation as an emerging, technically simpler alternative for treating severe tricuspid regurgitation in patients unsuitable for other percutaneous therapies.
Severe tricuspid regurgitation remains a challenging heart-valve disease to effectively treat with high morbidity and mortality at mid-term. Currently guideline-directed medical treatment is limited to escalating dose of diuretics, and the rationale and timing of open-heart surgery remains controversial. Emerging percutaneous therapies for severe tricuspid regurgitation continue to show promising results in early feasibility studies. However, randomized trial data is lacking. Additionally, many patients are deemed unsuitable for these emerging therapies due to anatomical or imaging constraints. Given the technical simplicity of the bicaval valve implantation (CAVI) technique compared to other transcatheter devices, CAVI is postulated as a suitable alternative for a wide variety of patients affected with severe+ tricuspid regurgitation. In this review we illustrate the current evidence and ongoing uncertainties of CAVI, focusing on the novel CAVI-specific devices.
Altisent et al. (Thu,) conducted a review in Severe tricuspid regurgitation. Caval Valve Implantation (CAVI) was evaluated. Caval valve implantation (CAVI) is reviewed as a technically simple, emerging alternative for patients with severe tricuspid regurgitation unsuitable for other transcatheter devices.
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