Open AccessTranscatheter Tricuspid Valve Intervention: Current Perspective
Author(s) -
Trevor Simard,
Mackram F. Eleid
Publication year - 2021
Publication title -
us cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.148
H-Index - 3
eISSN - 1758-390X
pISSN - 1758-3896
DOI - 10.15420/usc.2020.26
Subject(s) - medicine , regurgitation (circulation) , tricuspid valve , intervention (counseling) , valve replacement , intensive care medicine , cardiology , surgery , stenosis , psychiatry
Tricuspid regurgitation (TR) adversely impacts both quality of life and long-term survival, which generates interest in therapeutic approaches to mitigate these effects. Historically, therapeutic options for TR were limited to surgical approaches, which are often complicated by significant morbidity and mortality in elderly patients with multiple comorbidities. This gap in therapeutic options led to the rapid evolution of transcatheter tricuspid valve intervention (TTVI), with a wide variety of approaches pursued and early results suggesting that TTVI improves clinical outcomes. Numerous strategies, including edge-to-edge repair, annular reduction, spacers, caval valve implantation, and transcatheter tricuspid valve replacement form the basis of TTVI today. In this review, the authors discuss the current state of each approach.