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Published on: February 11, 2022
[Interventions at the tricuspid valve: What is possible?]
Alexander Lauten1, H-R Figulla
1Medizinische Klinik für Kardiologie, Charité - Universitätsmedizin Berlin, Campus Benjamin Franklin, Hindenburgdamm 30, 12203, Berlin, Deutschland, alexander.lauten@charite.de.
Tricuspid regurgitation (TR) presents challenges for transcatheter treatment due to the dynamic tricuspid annulus. Novel interventional approaches are emerging for TR, offering potential future therapeutic options.
Area of Science:
- Cardiology
- Interventional Cardiology
- Valvular Heart Disease
Context:
- Increasing life expectancy and improved cardiac treatments highlight tricuspid valve disease as an emerging interventional target.
- Tricuspid stenosis is rare and treatable with balloon valvuloplasty, but tricuspid regurgitation (TR) lacks established transcatheter solutions.
- The dynamic and complex nature of the tricuspid annulus complicates long-term fixation of transcatheter valves.
Purpose:
- To review the current landscape and future directions for interventional treatment of tricuspid regurgitation (TR).
- To discuss the challenges associated with transcatheter approaches for TR.
- To explore alternative and emerging therapeutic strategies for TR.
Summary:
- No effective transcatheter approach for tricuspid regurgitation (TR) is currently established.
- Transcatheter caval valve implantation (CAVI) shows promise for managing TR by addressing caval vein regurgitation.
- Tricuspid valve repair techniques, such as annular plication using devices like Mitralign™ and TriCinch™, are under investigation.
Impact:
- Development of percutaneous systems and therapies for tricuspid regurgitation is anticipated in the medium term.
- Clinical studies will be crucial to validate the functional and prognostic effects of these novel TR treatments.
- Advances in interventional cardiology aim to provide effective solutions for previously untreatable tricuspid valve diseases.
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