Transcatheter Tricuspid Valve Replacement

被引：11

作者：

Hausleiter, Joerg ^{[1
,2
]}

Stolz, Lukas ^{[1
,2
]}

Lurz, Philipp ^{[3
]}

Rudolph, Volker ^{[4
]}

Hahn, Rebecca ^{[5
]}

Estevez-Loureiro, Rodrigo ^{[6
,7
]}

Davidson, Charles ^{[8
]}

Zahr, Firas ^{[9
]}

Kodali, Susheel ^{[5
]}

Makkar, Raj ^{[10
]}

Cheung, Anson ^{[11
]}

Lopes, Renato D. ^{[12
,13
]}

Maisano, Francesco ^{[14
]}

Fam, Neil ^{[15
]}

Latib, Azeem ^{[16
]}

Windecker, Stephan ^{[17
]}

Praz, Fabien ^{[17
]}

机构：

[1] Klinikum Univ Munchen, Med Klin & Poliklin 1, Marchioninistr 15, Munich, Germany

[2] German Ctr Cardiovasc Res DZHK, Partner Site Munich Heart Alliance, Munich, Germany

[3] Johannes Gutenberg Univ Mainz, Univ Med Ctr, Cardiol Ctr, Mainz, Germany

[4] Ruhr Univ Bochum, Heart & Diabet Ctr North Rhine Westphalia, Clin Gen & Intervent Cardiol Angiol, Bochum, Germany

[5] Columbia Univ, NewYork Presbyterian Hosp, Med Ctr, Div Cardiol, New York, NY USA

[6] Univ Hosp Alvaro Cunqueiro, Dept Cardiol, Vigo, Spain

[7] Univ Vigo, Univ Hosp Alvaro Cunqueiro, Galicia Hlth Res Inst IIS Galicia Sur, Dept Cardiol,Cardiovasc Res Grp, Vigo, Spain

[8] Northwestern Univ, Feinberg Sch Med, Chicago, IL USA

[9] Oregon Hlth & Sci Univ, Knight Cardiovasc Inst, Portland, OR USA

[10] Cedars Sinai Med Ctr, Smidt Heart Inst, Los Angeles, CA USA

[11] St Pauls Hosp, Div Cardiothorac Surg, Vancouver, BC, Canada

[12] Duke Univ, Duke Clin Res Inst, Sch Med, Durham, NC USA

[13] Brazilian Clin Res Inst BCRI, Sao Paulo, Brazil

[14] Ist Sci San Raffaele, Dept Cardiac Surg, Milan, Italy

[15] Univ Toronto, St Michaels Hosp, Toronto, ON, Canada

[16] Montefiore Med Ctr, Albert Einstein Coll Med, Dept Cardiol, Bronx, NY USA

[17] Univ Bern, Bern Univ Hosp, Inselspital, Berne, Bern, Switzerland

来源：

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY | 2025年 / 85卷 / 03期

关键词：

echocardiography; emerging technologies and innovations; LEFT-VENTRICULAR FUNCTION; VALVULAR HEART-DISEASE; TO-EDGE REPAIR; COMPUTED-TOMOGRAPHY; ELECTRONIC DEVICES; CLINICAL-OUTCOMES; REGURGITATION; IMPACT; INTERVENTION; MULTICENTER;

D O I：

10.1016/j.jacc.2024.10.071

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Transcatheter tricuspid valve replacement (TTVR) has emerged as a promising intervention for the treatment of severe tricuspid regurgitation with complex valve morphology. This consensus document provides a comprehensive overview of the current state of orthotopic TTVR, focusing on patient selection, procedural details, and follow-up care. Clinical outcomes from initial studies and compassionate use cases are discussed, highlighting the effectiveness of TTVR in reducing tricuspid regurgitation, inducing reverse right ventricular remodeling, and enhancing patients' quality of life. This review paper also addresses potential complications and challenges associated with TTVR, such as new-onset conduction disturbances, bleeding complications, and afterload mismatch, and provides expert recommendations for the periprocedural management, anticoagulation strategies, and long-term follow-up. With the commercial approval of the first TTVR system in the United States and Europe, it intends to serve as a reference for clinicians and researchers involved in the evolving field of transcatheter tricuspid valve interventions. (JACC. 2025;85:265-291) (c) 2025 by the American College of Cardiology Foundation.

引用

页码：265 / 291

页数：27

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