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Updated: Apr 9, 2026

Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
Published on: February 8, 2022
Transcatheter Tricuspid Valve Replacement Using Conscious Sedation and Intracardiac Echocardiography
Dhiren R Rajagopal1, James P Stewart2, Vinod H Thourani2
1Marcus Heart Valve Center, Piedmont Heart Institute, Atlanta, Georgia, USA; Georgia Institute of Technology, Atlanta, Georgia, USA.
Transcatheter tricuspid valve replacement (TTVR) using the Evoque system is feasible with conscious sedation and intracardiac echocardiography (ICE). This minimalist approach offers a potential alternative for select patients, simplifying TTVR procedures.
Area of Science:
- Cardiovascular Medicine
- Interventional Cardiology
- Medical Devices
Background:
- Transcatheter aortic valve replacement commonly uses conscious sedation.
- Transcatheter tricuspid valve replacement (TTVR) typically requires general anesthesia and transesophageal echocardiography.
- TTVR with conscious sedation and intracardiac echocardiography (ICE) alone has not been previously documented.
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