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Developments in transcatheter tricuspid valve therapies


Voci, Davide; Pozzoli, Alberto; Miura, Mizuki; Gavazzoni, Mara; Gülmez, Gökhan; Scianna, Salvatore; Zuber, Michel; Maisano, Francesco; Taramasso, Maurizio (2019). Developments in transcatheter tricuspid valve therapies. Expert Review of Cardiovascular Therapy, 17(12):841-856.

Abstract

Introduction: Transcatheter tricuspid valve (TV) procedures emerged as an alternative to surgery for symptomatic high-risk patients with severe tricuspid regurgitation.Areas covered: A literature search was performed using PubMed. Authors review clinical evidence in this field, the imaging features and the developments in TV transcatheter technologies. Currently, transcatheter devices for TV procedures can be allocated into four main groups: 1) those ones targeting leaflet malcoaptation, 2) those addressing annular dilatation, 3) those performing heterotopic valve implantation and 4) those ones accomplishing a complete transcatheter replacement of the valve.Expert opinion: Actually, encouraging results are provided by initial experience in the field of transcatheter TV procedures. However, this field remains full of challenges that faced could lead to better results and prognosis for the patients. The next steps in this emerging field will need to focus on accurate patient selection, an early patient referral and on studies comparable and providing long-term data.

Abstract

Introduction: Transcatheter tricuspid valve (TV) procedures emerged as an alternative to surgery for symptomatic high-risk patients with severe tricuspid regurgitation.Areas covered: A literature search was performed using PubMed. Authors review clinical evidence in this field, the imaging features and the developments in TV transcatheter technologies. Currently, transcatheter devices for TV procedures can be allocated into four main groups: 1) those ones targeting leaflet malcoaptation, 2) those addressing annular dilatation, 3) those performing heterotopic valve implantation and 4) those ones accomplishing a complete transcatheter replacement of the valve.Expert opinion: Actually, encouraging results are provided by initial experience in the field of transcatheter TV procedures. However, this field remains full of challenges that faced could lead to better results and prognosis for the patients. The next steps in this emerging field will need to focus on accurate patient selection, an early patient referral and on studies comparable and providing long-term data.

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Vascular Surgery
04 Faculty of Medicine > University Hospital Zurich > Clinic for Cardiac Surgery
Dewey Decimal Classification:610 Medicine & health
Scopus Subject Areas:Health Sciences > Internal Medicine
Health Sciences > Cardiology and Cardiovascular Medicine
Uncontrolled Keywords:Transcatheter tricuspid valve treatment transcatheter tricuspid valve therapy tricuspid regurgitation tricuspid valve valvular heart disease
Language:English
Date:4 December 2019
Deposited On:09 Jan 2020 09:58
Last Modified:29 Jul 2020 12:16
Publisher:Informa Healthcare
ISSN:1477-9072
OA Status:Closed
Publisher DOI:https://doi.org/10.1080/14779072.2019.1699056
PubMed ID:31795771

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