Functional tricuspid insufficiency is associated with a significant operative mortality. Two percutaneous solutions appear promising.
Seance of wednesday 17 may 2023 (Cardiologie interventionnelle)
DOI number : 10.26299/e883-zc76/emem.2023.18.05
Abstract
Edge-to-edge repair consists in anchoring the anterior leaflet to the septal leaflet using clips. The Transluminate study shows a procedure success rate of >80%, a low peri-procedural mortality rate (<1%) but a residual leakage rate of 50%. Clip-treated patients had an improvement in quality of life but no improvement in one-year survival.
Several percutaneous valves are under clinical validation. They offer the same safety in terms of the procedure risk (mortality <1%) but with the advantage of not leaving any residual leak. Clinical studies are ongoing to assess the clinical benefit.
Conclusion: Percutaneous solutions reduce the risk associated with the correction of tricuspid leaks but additional studies are needed to define their position in the therapeutic strategy.
Several percutaneous valves are under clinical validation. They offer the same safety in terms of the procedure risk (mortality <1%) but with the advantage of not leaving any residual leak. Clinical studies are ongoing to assess the clinical benefit.
Conclusion: Percutaneous solutions reduce the risk associated with the correction of tricuspid leaks but additional studies are needed to define their position in the therapeutic strategy.