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Tricuspid Annuloplasty: Transcatheter Approaches
Current Cardiology Reports ( IF 3.1 ) Pub Date : 2021-08-19 , DOI: 10.1007/s11886-021-01570-8
Martin Arnold 1 , Julia Haug 1 , Melanie Landendinger 1
Affiliation  

Purpose of Review

New transcatheter techniques to perform tricuspid annuloplasty are evolving and are introduced into the clinical routine. Yet, clinical experience is limited.

Recent Findings

Currently, 3 different techniques for tricuspid annuloplasty have been used in larger clinical cohorts. They can be divided into direct annuloplasty techniques and suture plication techniques. The largest clinical evidence is related to direct annuloplasty techniques. It has been shown that annular dimensions can be effectively reduced. This translates into an improvement of the degree of tricuspid regurgitation and improvement of clinical symptoms. Due to the newness of this type of therapy, long-term data is limited, but for one of the described techniques, published data show that the positive effects persist over a 2-year period.

Summary

Transcatheter approaches are safe and are able to treat tricuspid regurgitation effectively. There are still differences in the efficacy of the different techniques. Clinical experience varies among the different approaches.



中文翻译:


三尖瓣瓣环成形术:经导管方法


 审查目的


进行三尖瓣瓣环成形术的新经导管技术正在不断发展并被引入临床常规。然而,临床经验有限。

 最近的发现


目前,3 种不同的三尖瓣环成形术技术已在较大的临床队列中使用。它们可分为直接瓣环成形术和缝合折叠技术。最大的临床证据与直接瓣环成形术技术有关。已经表明,可以有效地减小环形尺寸。这转化为三尖瓣反流程度的改善和临床症状的改善。由于这种疗法的新颖性,长期数据有限,但对于所描述的技术之一,已发表的数据显示积极效果持续超过 2 年。

 概括


经导管方法安全并且能够有效治疗三尖瓣反流。不同技术的功效仍然存在差异。不同方法的临床经验各不相同。

更新日期:2021-08-19
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