New Approaches to Assessment and Management of Tricuspid Regurgitation Before Intervention

被引：15

作者：

Welle, Garrett A. ^{[1
]}

Hahn, Rebecca T. ^{[2
]}

Lindenfeld, Joann ^{[3
]}

Lin, Grace ^{[1
]}

Nkomo, Vuyisile T. ^{[1
]}

Hausleiter, Joerg ^{[4
]}

Lurz, Philipp C. ^{[5
]}

V. Pislaru, Sorin ^{[1
]}

Davidson, Charles J. ^{[6
]}

Eleid, Mackram F. ^{[1
]}

机构：

[1] Mayo Clin, Dept Cardiovasc Med, 200 First St SW, Rochester, MN 55905 USA

[2] Columbia Univ, Med Ctr, Div Cardiol, New York, NY USA

[3] Vanderbilt Univ, Med Ctr, Div Cardiol, Nashville, TN USA

[4] Univ Hosp Munich, Munich, Germany

[5] Heart Ctr Leipzig, Leipzig, Germany

[6] Northwestern Univ, Div Cardiol, Med Ctr, Chicago, IL USA

来源：

JACC-CARDIOVASCULAR INTERVENTIONS | 2024年 / 17卷 / 07期

关键词：

transcatheter tricuspid intervention; tricuspid regurgitation; tricuspid valve; MITRAL-VALVE REPAIR; RIGHT-VENTRICULAR FUNCTION; PULMONARY ARTERIAL-PRESSURE; TO-EDGE REPAIR; EUROPEAN ASSOCIATION; ATRIAL-FIBRILLATION; 1-YEAR OUTCOMES; HEART-FAILURE; PATHOPHYSIOLOGICAL LINK; PERMANENT PACEMAKER;

D O I：

10.1016/j.jcin.2024.02.034

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Severe tricuspid regurgitation (TR) is a progressive condition associated with substantial morbidity, poor quality of life, and increased mortality. Patients with TR commonly have coexisting conditions including congestive heart failure, pulmonary hypertension, chronic lung disease, atrial fibrillation, and cardiovascular implantable electronic devices, which can increase the complexity of medical and surgical TR management. As such, the optimal timing of referral for isolated tricuspid valve (TV) intervention is unde fined, and TV surgery has been associated with elevated risk of morbidity and mortality. More recently, an unprecedented growth in TR treatment options, namely the development of a wide range of transcatheter TV interventions (TTVI) is stimulating increased interest and referral for TV intervention across the entire medical community. However, there are no stepwise algorithms for the optimal management of symptomatic severe TR before TTVI. This article reviews the contemporary assessment and management of TR with addition of a medical framework to optimize TR before referral for TTVI. (J Am Coll Cardiol Intv 2024;17:837 -858) (c) 2024 by the American College of Cardiology Foundation.

引用

页码：837 / 858

页数：22

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