Tricuspid Regurgitation: A Review of Current Interventional Management

• Published in: Journal of the American Heart Association Vol. 13; no. 6; p. e032999
• Main Authors: Ambrosino, Maxwell, Sangoi, Matthew, Monzer, Nasser, Irving, Brett, Fiorilli, Paul, Khazan, Benjamin, Goldberg, Sheldon
• Format: Journal Article
• Language: English
• Published: England Wiley 19.03.2024
• Subjects: Cardiac Catheterization - methods; edge‐to‐edge repair; Heart Valve Prosthesis Implantation - methods; Humans; Quality of Life; transcatheter intervention; Treatment Outcome; tricuspid regurgitation; tricuspid valve; Tricuspid Valve - diagnostic imaging; Tricuspid Valve - surgery; Tricuspid Valve Insufficiency - diagnostic imaging; Tricuspid Valve Insufficiency - surgery; valve‐in‐valve implantation; valve‐in‐valve implantation; tricuspid regurgitation; tricuspid valve; transcatheter intervention; edge‐to‐edge repair
• ISSN: 2047-9980; 2047-9980
• DOI: 10.1161/JAHA.123.032999

Tricuspid regurgitation is a common yet clinically complex problem, traditionally managed with diuretic therapy with no observable mortality benefit. Older studies on surgical intervention observed poor outcomes; however, this clinical reasoning predates current surgical approaches and novel transcatheter technology. The tricuspid apparatus is a complex structure that poses a technical challenge for surgeons and interventional cardiologists. Recent advances in surgical techniques and transcatheter therapy, particularly edge-to-edge repair devices, have demonstrated promising results for safety, reduction in tricuspid regurgitation, and improving quality of life. We review the clinical, imaging, and hemodynamic findings that characterize patients who should be considered for intervention, alongside the rapidly evolving approaches to interventional management.