State-of-the-Art Review: Anatomical and Imaging Considerations During Transcatheter Tricuspid Valve Repair Using an Annuloplasty Approach
Transcatheter techniques for the treatment of tricuspid regurgitation (TR) are being more frequently used and several new devices are in development. Since 90% of patients with TR have secondary TR, catheter based systems which reduce the dilated tricuspid annulus area are of particular interest. In...
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doaj-325a1e36cd0b4a4798aaa9b3427c5a2a2021-02-05T05:12:27ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2021-02-01810.3389/fcvm.2021.619605619605State-of-the-Art Review: Anatomical and Imaging Considerations During Transcatheter Tricuspid Valve Repair Using an Annuloplasty ApproachNina C. Wunderlich0Melanie Landendinger1Martin Arnold2Stephan Achenbach3Martin J. Swaans4Robert J. Siegel5Siew Yen Ho6Cardiovasclar Center Darmstadt, Darmstadt, GermanyDepartment of Cardiology, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, GermanyDepartment of Cardiology, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, GermanyDepartment of Cardiology, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, GermanyDepartment of Cardiology, St. Antonius Hospital, Nieuwegein, NetherlandsCedars-Sinai Medical Center, Smidt Heart Institute, Los Angeles, CA, United StatesCardiac Morphology Unit, Royal Brompton Hospital, London, United KingdomTranscatheter techniques for the treatment of tricuspid regurgitation (TR) are being more frequently used and several new devices are in development. Since 90% of patients with TR have secondary TR, catheter based systems which reduce the dilated tricuspid annulus area are of particular interest. In order to perform an annuloplasty procedure effectively and safely, knowledge about the anatomy of the tricuspid valve apparatus and especially of the annulus in relation to the important neighboring structures such as the aortic root, the RCA, the electrical pathways and the CS is fundamental. In addition, comprehensive understanding of the device itself, the delivery system, its maneuverability and the individual procedural steps is required. Furthermore, the use of multi-modality imaging is important. For each step of the procedure the appropriate imaging modality as well as the optimal; imaging planes are crucial to provide the necessary information to best guide the individual procedural step.https://www.frontiersin.org/articles/10.3389/fcvm.2021.619605/fulltricuspid valveannuloplastytransesophageal echocardiographyfunctional tricuspid regurgitationtranscatheter intervention |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Nina C. Wunderlich Melanie Landendinger Martin Arnold Stephan Achenbach Martin J. Swaans Robert J. Siegel Siew Yen Ho |
spellingShingle |
Nina C. Wunderlich Melanie Landendinger Martin Arnold Stephan Achenbach Martin J. Swaans Robert J. Siegel Siew Yen Ho State-of-the-Art Review: Anatomical and Imaging Considerations During Transcatheter Tricuspid Valve Repair Using an Annuloplasty Approach Frontiers in Cardiovascular Medicine tricuspid valve annuloplasty transesophageal echocardiography functional tricuspid regurgitation transcatheter intervention |
author_facet |
Nina C. Wunderlich Melanie Landendinger Martin Arnold Stephan Achenbach Martin J. Swaans Robert J. Siegel Siew Yen Ho |
author_sort |
Nina C. Wunderlich |
title |
State-of-the-Art Review: Anatomical and Imaging Considerations During Transcatheter Tricuspid Valve Repair Using an Annuloplasty Approach |
title_short |
State-of-the-Art Review: Anatomical and Imaging Considerations During Transcatheter Tricuspid Valve Repair Using an Annuloplasty Approach |
title_full |
State-of-the-Art Review: Anatomical and Imaging Considerations During Transcatheter Tricuspid Valve Repair Using an Annuloplasty Approach |
title_fullStr |
State-of-the-Art Review: Anatomical and Imaging Considerations During Transcatheter Tricuspid Valve Repair Using an Annuloplasty Approach |
title_full_unstemmed |
State-of-the-Art Review: Anatomical and Imaging Considerations During Transcatheter Tricuspid Valve Repair Using an Annuloplasty Approach |
title_sort |
state-of-the-art review: anatomical and imaging considerations during transcatheter tricuspid valve repair using an annuloplasty approach |
publisher |
Frontiers Media S.A. |
series |
Frontiers in Cardiovascular Medicine |
issn |
2297-055X |
publishDate |
2021-02-01 |
description |
Transcatheter techniques for the treatment of tricuspid regurgitation (TR) are being more frequently used and several new devices are in development. Since 90% of patients with TR have secondary TR, catheter based systems which reduce the dilated tricuspid annulus area are of particular interest. In order to perform an annuloplasty procedure effectively and safely, knowledge about the anatomy of the tricuspid valve apparatus and especially of the annulus in relation to the important neighboring structures such as the aortic root, the RCA, the electrical pathways and the CS is fundamental. In addition, comprehensive understanding of the device itself, the delivery system, its maneuverability and the individual procedural steps is required. Furthermore, the use of multi-modality imaging is important. For each step of the procedure the appropriate imaging modality as well as the optimal; imaging planes are crucial to provide the necessary information to best guide the individual procedural step. |
topic |
tricuspid valve annuloplasty transesophageal echocardiography functional tricuspid regurgitation transcatheter intervention |
url |
https://www.frontiersin.org/articles/10.3389/fcvm.2021.619605/full |
work_keys_str_mv |
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