The Last Decade in Tricuspid Regurgitation: How Imaging Shaped a Field

Area of Science:

• Cardiology
• Interventional Cardiology
• Cardiac Imaging

Background:

• Significant tricuspid regurgitation (TR) is linked to increased mortality and reduced quality of life, even with coexisting left heart or pulmonary vascular diseases.
• Recent advancements include Conformité Européenne and U.S. Food and Drug Administration approvals for several novel structural heart devices targeting TR.
• Echocardiography is the primary diagnostic tool for TR, but advanced imaging is critical for the development of transcatheter interventions.

Purpose of the Study:

• To review the advancements in structural interventions for tricuspid regurgitation (TR).
• To highlight the pivotal role of imaging techniques in the evolution of transcatheter TR interventions.

Main Methods:

• Review of current literature on tricuspid regurgitation (TR) interventions.
• Analysis of the impact of advanced imaging modalities on structural heart disease treatment.
• Focus on transcatheter interventions for TR.

Main Results:

• The field of structural interventions for TR has seen significant device approvals and advancements.
• Advanced imaging techniques are indispensable for the diagnosis, assessment, and treatment planning of TR.
• Imaging plays a key role in the development and success of novel transcatheter TR therapies.

Conclusions:

• Novel transcatheter interventions are transforming the management of tricuspid regurgitation (TR).
• The integration of advanced imaging is fundamental to the progress and future of structural TR interventions.
• Continued innovation in imaging will further enhance the efficacy and accessibility of TR treatments.