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Tricuspid
Regurgitation

Tricuspid Regurgitation (TR) is a complex disease that has multiple causes, and is associated with high rates of morbidity and mortality.1,2 TR is highly prevalent, and among valve diseases, is one of the most undertreated.1,3 If left untreated, TR initiates a cascade of events that can lead to right-sided Heart Failure (HF) and death.4

The European Society of Cardiology/European Association of Cardiothoracic Surgery (ESC/EACTS) guidelines 2021 recommend timely referral of patients with VHD before irreversible damage occurs, and suggest that tricuspid valve interventions are underused and often initiated too late.39

Treatment of TR is guided by disease classification (primary/secondary) and severity. Typically, patients with TR are classified as having none/mild, moderate, or severe TR.22,45–47 In secondary TR, the approach to treatment is guided by the nature of the patient’s underlying heart disease.13

Current options for the treatment of TR include:

MEDICAL
MANAGEMENT

SURGICAL REPAIR
OR REPLACEMENT

TRANSCATHETER
REPAIR

As recommended in the 2020 American College of Cardiology/American Heart Association (ACC/AHA) and 2021 ESC/EACTS guidelines,38,39 patients with TR should be managed by a multidisciplinary heart team. A heart team comprises clinical and interventional cardiologists, cardiac surgeons, imaging specialists with expertise in interventional imaging, cardiovascular anaesthesiologists, and other specialists if required (e.g. heart failure specialists, electrophysiologists).39 Comprehensive imaging includes both TTE and TEE.48

 

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T-TEER: Transcatheter Tricuspid Valve Repair - cases, tips, and tricks

T-TEER: Transcatheter Tricuspid Valve Repair - cases, tips, and tricks

T-TEER: echo procedural approach

T-TEER: echo procedural approach for Transcatheter Tricuspid Repair

T-TEER: patient selection and current evidence

T-TEER: patient selection and current evidence for TR Repair

M-TEER: primary and secondary Mitral Regurgitation - cases, tips and tricks

Mitral-TEER: primary and secondary Mitral Regurgitation - cases, tips and tricks

M-TEER: echo procedural approach

M-TEER: echo procedural approach for Transcatheter Mitral Repair

M-TEER: patient selection and current evidence

M-TEER: patient selection and current evidence for Mitral Regurgitation Repair

Anatomical overview of the AV Valves

Anatomical overview of the AV Valves and structures

Screening Transmission | Mitral focus

Screening Transmission | Mitral focus

F. Maisano, M. Swaans, M. Adam. M. Weber

TriClip - AVVS 1 year 1 minute Tricuspid - Video

The most significant moments of the past year | Tricuspid focus

MitraClip - AVVS 1 year 1 minute Mitral - Video

The most significant moments of the past year | Mitral focus

HUB

PCRLV 2022: bRIGHT 30 days

PCRLV 2022: Initial 30-day results from the bRIGHT study

PCRLV 2022: bRIGHT 1 year

PCRLV 2022: Initial 1-year outcomes from the bRIGHT study

bRIGHT study

bRIGHT study 1-year data card

EuroEcho 2021: Tricuspid regurgitation: The Patient

EuroEcho 2021: Advances to optimize tricuspid regurgitation management: the patient   

TriClip™ G4: Product overview

TriClip™ G4 Transcatheter Tricuspid Valve Repair System Overview

EuroEcho 2021: bRIGHT Gap Analysis

EuroEcho 2021: Characterization of Coaptation Gap in Patients Receiving Tricuspid Transcatheter Edge-to-Edge Repair: Initial Observations from the bRight TriClip™ study

ESC 2021: HF & VHD Guidelines

ESC 2021: The Essentials of 2021 ESC Heart Failure and ESC/EACTS Guidelines for the management of valvular heart disease

References
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  2. Taramasso M, Gavazzoni M, Maisano F. Is tricuspid regurgitation a prognostic interventional target or is it just an indicator of worst prognosis in heart failure patients? Eur Heart J. 2019;40(5):485–487. doi.org/10.1093/eurheartj/ehy722.
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