A Guide for Successful Transcatheter Tricuspid Valve Repair With the Triclip

Area of Science:

• Cardiovascular Medicine
• Interventional Cardiology
• Medical Device Technology

Background:

• Transcatheter edge-to-edge repair (t-TEER) for tricuspid regurgitation (TR) shows growing clinical adoption and safety.
• The tricuspid valve's complexity can challenge the reproducibility of t-TEER trial results in routine practice.

Purpose of the Study:

• To provide a comprehensive review of optimal procedural steps for t-TEER using the Triclip device.
• To outline advanced techniques and maneuvers for Triclip implantation in complex tricuspid regurgitation cases.

Main Methods:

• Review of current literature and clinical best practices for t-TEER.
• Detailed description of the Triclip system's implantation technique.
• Discussion of strategies for managing anatomical challenges during t-TEER.

Main Results:

• The Triclip device is the first US-approved device for t-TEER.
• Optimal steps and advanced maneuvers are crucial for successful Triclip implantation.
• Addressing valve complexity is key to achieving favorable outcomes.

Conclusions:

• This review aims to enhance the practical application of t-TEER with Triclip.
• Mastering advanced maneuvers can improve procedural success and patient outcomes in tricuspid regurgitation treatment.