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Caval Valve Implantation

Alexander Lauten1, Henryk Dreger1, Michael Laule1

  • 1Department of Cardiology, Charité - Universitaetsmedizin Berlin, German Centre for Cardiovascular Research (DZHK), University Heart Center, Charitéplatz 1, Berlin D-10117, Germany.

Interventional Cardiology Clinics
|November 22, 2017
PubMed

Insights

Transcatheter therapies offer new options for heart valve disease. This review explores caval valve implantation for severe tricuspid regurgitation, considering patient heterogeneity and treatment success factors.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Cardiac Surgery

Background:

  • Transcatheter therapies are expanding treatment options for heart valve disease.
  • Tricuspid regurgitation (TR) is a complex condition with a heterogeneous patient population.
  • Understanding the natural history of TR is crucial for effective treatment.

Purpose of the Study:

  • To review the pathophysiologic background of severe tricuspid regurgitation.
  • To examine the current evidence for caval valve implantation (CVI).
  • To assess the potential role of CVI in treating severe TR.

Main Methods:

  • Literature review of pathophysiologic mechanisms of TR.
  • Analysis of current clinical evidence for caval valve implantation.
  • Evaluation of patient selection criteria for interventional TR treatment.

Main Results:

  • Severe tricuspid regurgitation presents a heterogeneous patient cohort.
  • The optimal interventional approach for functional and clinical success remains unclear.
  • Caval valve implantation is an emerging option for specific TR subtypes.

Conclusions:

  • Further research is needed to determine the best interventional strategies for TR.
  • Caval valve implantation shows potential for treating severe tricuspid regurgitation.
  • Personalized treatment approaches are essential for this heterogeneous patient group.

Keywords:
Caval valve implantationFunctional tricuspid regurgitationRight heart failureTricuspid valve insufficiencyTricuspid valve regurgitation

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