Purpose of the Review

Annular-based strategies for treating tricuspid valve (TV) regurgitation do not always have satisfactory long-term outcomes. Management of failed TV annuloplasty can be challenging and requires a dedicated heart team approach. This review explores the treatment options available for failed TV annuloplasty.

Recent findings

Recent developments and novel percutaneous treatment options have emerged as promising alternatives for patients with failed TV annuloplasty. Leaflet-based interventions, valve-in-valve procedures, transcatheter tricuspid valves and new-generation trans-caval valves are all feasible options, which can assure good results whilst minimizing risks for the patient.

Summary

Failure of tricuspid annuloplasty is not uncommon amongst patients treated with either a tricuspid ring or suture-based device. The complex anatomy, physiology and clinical risk profile should be carefully evaluated on an individual patient-by-patient basis in order to select the most appropriate clinical and percutaneous treatment strategy. Different transcatheter tricuspid valve repair or replacement techniques may provide an attractive alternative treatment option for managing this challenging patient cohort.

中文翻译：

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三尖瓣瓣环成形术失败的诊断与处理

审查的目的

用于治疗三尖瓣 (TV) 返流的基于环的策略并不总是具有令人满意的长期结果。失败的 TV 瓣环成形术的管理可能具有挑战性，需要专门的心脏团队方法。本综述探讨了可用于失败的 TV 瓣环成形术的治疗方案。

最近的发现

最近的发展和新型经皮治疗方案已成为 TV 瓣环成形术失败患者的有希望的替代方案。基于传单的干预、瓣中瓣手术、经导管三尖瓣和新一代经腔瓣都是可行的选择，它们可以确保良好的结果，同时最大限度地降低患者的风险。

概括

三尖瓣瓣环成形术失败在接受三尖瓣环或缝合装置治疗的患者中并不少见。复杂的解剖学、生理学和临床风险概况应根据个别患者进行仔细评估，以便选择最合适的临床和经皮治疗策略。不同的经导管三尖瓣修复或置换技术可能为管理这一具有挑战性的患者群体提供有吸引力的替代治疗选择。