EVOQUE Tricuspid Valve Replacement System: State-of-the-Art Screening and Intraprocedural Guidance.

Area of Science:

• Cardiology
• Interventional Cardiology
• Cardiac Surgery

Background:

• Severe, symptomatic tricuspid regurgitation (TR) is a significant clinical problem.
• The recent approval of the EVOQUE transcatheter tricuspid valve replacement system offers a new treatment option.
• Defining the optimal use of this device is crucial for patient outcomes.

Purpose of the Study:

• To establish consensus on patient selection for the EVOQUE system.
• To detail anatomical considerations for successful transcatheter tricuspid valve replacement.
• To provide procedural guidance and address complex intraprocedural scenarios.

Main Methods:

• Consensus-based review of current literature and expert opinion.
• Description of procedural steps for EVOQUE implantation.
• Guidance on imaging requirements for technical success.

Main Results:

• Key patient characteristics and anatomical criteria for EVOQUE suitability are defined.
• Detailed procedural steps and imaging protocols are outlined.
• Strategies for managing challenging intraprocedural situations are discussed.

Conclusions:

• Appropriate patient selection and anatomical assessment are vital for EVOQUE system success.
• Adherence to procedural guidelines and imaging requirements enhances technical outcomes.
• This consensus document provides a framework for the effective use of transcatheter tricuspid valve replacement.