Transcatheter edge-to-edge repair for tricuspid regurgitation_West China Medical Journal

Authors：

TAI Shi , LIU Jiale ,  FANG Zhenfei

Department of Cardiology, the Second Xiangya Hospital of Central South University, Changsha, Hunan 410011, P. R. China;

Corresponding author：

FANG Zhenfei, Email: fangzhenfei@csu.edu.cn

Keywords：

Tricuspid regurgitation; Edge-to-edge repair; Transcatheter tricuspid intervention

DOI：

10.7507/1002-0179.202107258

Video：

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Tricuspid regurgitation (TR) affects a wide population in China, and frequently coexists with other conditions as comorbidities. Moderate to severe TR is associated with a poor prognosis and medical treatment alone does not prevent progression of disease. Although minimal invasive catheter-based techniques might be an option for TR treatment in selected high risk patients, there is no relevant recommendations for the transcatheter treatment of TR in practice guidelines. Several transcatheter edge-to-edge repair devices are currently in preclinical and early clinical evaluation as potential novel treatment options for symptomatic TR in patients at increased risk for surgery, becoming as the most common technique applied for interventional TR treatment. Hence, the present study will introduce the clinical features of TR, the progress of edge-to-edge repair, and the application and challenges in the future.

Citation： TAI Shi, LIU Jiale, FANG Zhenfei. Transcatheter edge-to-edge repair for tricuspid regurgitation. West China Medical Journal, 2021, 36(9): 1250-1254. doi: 10.7507/1002-0179.202107258 Copy

1.	Guenther T, Noebauer C, Mazzitelli D, et al. Tricuspid valve surgery: a thirty-year assessment of early and late outcome. Eur J Cardiothorac Surg, 2008, 34(2): 402-409.
2.	Lurz P, Stephan von Bardeleben R, Weber M, et al. Transcatheter edge-to-edge repair for treatment of tricuspid regurgitation. J Am Coll Cardiol, 2021, 77(3): 229-239.
3.	Kodali S, Hahn RT, Eleid MF, et al. Feasibility study of the transcatheter valve repair system for severe tricuspid regurgitation. J Am Coll Cardiol, 2021, 77(4): 345-356.
4.	Topilsky Y, Maltais S, Medina Inojosa J, et al. Burden of tricuspid regurgitation in patients diagnosed in the community setting. JACC Cardiovasc Imaging, 2019, 12(3): 433-442.
5.	Yang L, Chen H, Pan W, et al. Analyses for prevalence and outcome of tricuspid regurgitation in China: an echocardiography study of 134, 874 patients. Cardiology, 2019, 142(1): 40-46.
6.	中国医师协会超声医师分会心脏超声专业委员会, 中国医师协会心血管病分会结构性心脏病专业委员会. 三尖瓣反流介入治疗的超声心动图评价中国专家共识(2021 版). 中华超声影像学杂志, 2021, 30(6): 461-471.
7.	姚静, 龚婵娟, 孔祥清. 三尖瓣反流介入治疗的研究进展. 中华心血管病杂志, 2019, 47(7): 577-580.
8.	Zoghbi WA, Adams D, Bonow RO, et al. Recommendations for noninvasive evaluation of native valvular regurgitation: a report from the American Society of Echocardiography developed in collaboration with the society for cardiovascular magnetic resonance. J Am Soc Echocardiogr, 2017, 30(4): 303-371.
9.	Writing Committee Members, Otto CM, Nishimura RA, et al. 2020 ACC/AHA guideline for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Joint Committee on clinical practice guidelines. J Am Coll Cardiol, 2021, 77(4): e25-e197.
10.	Kowalski M, Franz N, Ritter F, et al. Simultaneous transfemoral transcatheter mitral and tricuspid valve edge-to-edge repair (using MitraClip system) completed by atrial septal defect occlusion in a surgically inoperable patient. First-in-human report. Kardiochir Torakochirurgia Pol, 2015, 12(4): 295-297.
11.	Schofer J, Tiburtius C, Hammerstingl C, et al. Transfemoral tricuspid valve repair using a percutaneous mitral valve repair system. J Am Coll Cardiol, 2016, 67(7): 889-890.
12.	Wengenmayer T, Zehender M, Bothe W, et al. First transfemoral percutaneous edge-to-edge repair of the tricuspid valve using the MitraClip system. EuroIntervention, 2016, 11(13): 1541-1544.
13.	Hammerstingl C, Schueler R, Malasa M, et al. Transcatheter treatment of severe tricuspid regurgitation with the MitraClip system. Eur Heart J, 2016, 37(10): 849-853.
14.	Sorajja P, Cavalcante JL, Gossl M, et al. Transcatheter repair of tricuspid regurgitation with mitraclip. Prog Cardiovasc Dis, 2019, 62(6): 488-492.
15.	Taramasso M, Alessandrini H, Latib A, et al. Outcomes after current transcatheter tricuspid valve intervention: mid-term results from the international trivalve registry. JACC Cardiovasc Interv, 2019, 12(2): 155-165.
16.	Mehr M, Taramasso M, Besler C, et al. 1-year outcomes after edge-to-edge valve repair for symptomatic tricuspid regurgitation: results from the TriValve Registry. JACC Cardiovasc Interv, 2019, 12(15): 1451-1461.
17.	Nickenig G, Weber M, Lurz P, et al. Transcatheter edge-to-edge repair for reduction of tricuspid regurgitation: 6-month outcomes of the TRILUMINATE single-arm study. Lancet, 2019, 394(10213): 2002-2011.
18.	Fam NP, Braun D, von Bardeleben RS, et al. Compassionate use of the PASCAL transcatheter valve repair system for severe tricuspid regurgitation: a multicenter, observational, first-in-human experience. JACC Cardiovasc Interv, 2019, 12(24): 2488-2495.
19.	Kitamura M, Fam NP, Braun D, et al. 12-month outcomes of transcatheter tricuspid valve repair with the PASCAL system for severe tricuspid regurgitation. Catheter Cardiovasc Interv, 2021, 97(6): 1281-1289.
20.	Aurich M, Volz MJ, Mereles D, et al. Initial experience with the PASCAL Ace implant system for treatment of severe tricuspid regurgitation. Circ Cardiovasc Interv, 2021: CIRCINTERVENTIONS121010770.
21.	陈茂, 荆志成, 张浩, 等. 经导管三尖瓣置换治疗的现状与挑战. 中华心血管病杂志, 2021, 49(5): 420-424.
22.	潘文志, 龙愉良, 周达新, 等. 2020 年经导管瓣膜治疗主要进展. 中国胸心血管外科临床杂志, 2021, 28(4): 371-375.
23.	安朝, 陆方林. 2019 年三尖瓣介入治疗的新进展. 中华心血管病杂志(网络版), 2020, 3(1): 1-7.
24.	Chang CC, Veen KM, Hahn RT, et al. Uncertainties and challenges in surgical and transcatheter tricuspid valve therapy: a state-of-the-art expert review. Eur Heart J, 2020, 41(20): 1932-1940.
25.	Schlotter F, Miura M, Kresoja KP, et al. Outcomes of transcatheter tricuspid valve intervention by right ventricular function: a multicentre propensity-matched analysis. Eurolntervention, 2021, 17(14): e343-e352.
26.	Taramasso M, Benfari G, van der Bijl P, et al. Transcatheter versus medical treatment of patients with symptomatic severe tricuspid regurgitation. J Am Coll Cardiol, 2019, 74(24): 2998-3008.
27.	Ton-Nu TT, Levine RA, Handschumacher MD, et al. Geometric determinants of functional tricuspid regurgitation: insights from 3-dimensional echocardiography. Circulation, 2006, 114(2): 143-149.
28.	Fukuda S, Saracino G, Matsumura Y, et al. Three-dimensional geometry of the tricuspid annulus in healthy subjects and in patients with functional tricuspid regurgitation: a real-time, 3-dimensional echocardiographic study. Circulation, 2006, 114(Suppl 1): 1492-1498.

1. Guenther T, Noebauer C, Mazzitelli D, et al. Tricuspid valve surgery: a thirty-year assessment of early and late outcome. Eur J Cardiothorac Surg, 2008, 34(2): 402-409.
2. Lurz P, Stephan von Bardeleben R, Weber M, et al. Transcatheter edge-to-edge repair for treatment of tricuspid regurgitation. J Am Coll Cardiol, 2021, 77(3): 229-239.
3. Kodali S, Hahn RT, Eleid MF, et al. Feasibility study of the transcatheter valve repair system for severe tricuspid regurgitation. J Am Coll Cardiol, 2021, 77(4): 345-356.
4. Topilsky Y, Maltais S, Medina Inojosa J, et al. Burden of tricuspid regurgitation in patients diagnosed in the community setting. JACC Cardiovasc Imaging, 2019, 12(3): 433-442.
5. Yang L, Chen H, Pan W, et al. Analyses for prevalence and outcome of tricuspid regurgitation in China: an echocardiography study of 134, 874 patients. Cardiology, 2019, 142(1): 40-46.
6. 中国医师协会超声医师分会心脏超声专业委员会, 中国医师协会心血管病分会结构性心脏病专业委员会. 三尖瓣反流介入治疗的超声心动图评价中国专家共识(2021 版). 中华超声影像学杂志, 2021, 30(6): 461-471.
7. 姚静, 龚婵娟, 孔祥清. 三尖瓣反流介入治疗的研究进展. 中华心血管病杂志, 2019, 47(7): 577-580.
8. Zoghbi WA, Adams D, Bonow RO, et al. Recommendations for noninvasive evaluation of native valvular regurgitation: a report from the American Society of Echocardiography developed in collaboration with the society for cardiovascular magnetic resonance. J Am Soc Echocardiogr, 2017, 30(4): 303-371.
9. Writing Committee Members, Otto CM, Nishimura RA, et al. 2020 ACC/AHA guideline for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Joint Committee on clinical practice guidelines. J Am Coll Cardiol, 2021, 77(4): e25-e197.
10. Kowalski M, Franz N, Ritter F, et al. Simultaneous transfemoral transcatheter mitral and tricuspid valve edge-to-edge repair (using MitraClip system) completed by atrial septal defect occlusion in a surgically inoperable patient. First-in-human report. Kardiochir Torakochirurgia Pol, 2015, 12(4): 295-297.
11. Schofer J, Tiburtius C, Hammerstingl C, et al. Transfemoral tricuspid valve repair using a percutaneous mitral valve repair system. J Am Coll Cardiol, 2016, 67(7): 889-890.
12. Wengenmayer T, Zehender M, Bothe W, et al. First transfemoral percutaneous edge-to-edge repair of the tricuspid valve using the MitraClip system. EuroIntervention, 2016, 11(13): 1541-1544.
13. Hammerstingl C, Schueler R, Malasa M, et al. Transcatheter treatment of severe tricuspid regurgitation with the MitraClip system. Eur Heart J, 2016, 37(10): 849-853.
14. Sorajja P, Cavalcante JL, Gossl M, et al. Transcatheter repair of tricuspid regurgitation with mitraclip. Prog Cardiovasc Dis, 2019, 62(6): 488-492.
15. Taramasso M, Alessandrini H, Latib A, et al. Outcomes after current transcatheter tricuspid valve intervention: mid-term results from the international trivalve registry. JACC Cardiovasc Interv, 2019, 12(2): 155-165.
16. Mehr M, Taramasso M, Besler C, et al. 1-year outcomes after edge-to-edge valve repair for symptomatic tricuspid regurgitation: results from the TriValve Registry. JACC Cardiovasc Interv, 2019, 12(15): 1451-1461.
17. Nickenig G, Weber M, Lurz P, et al. Transcatheter edge-to-edge repair for reduction of tricuspid regurgitation: 6-month outcomes of the TRILUMINATE single-arm study. Lancet, 2019, 394(10213): 2002-2011.
18. Fam NP, Braun D, von Bardeleben RS, et al. Compassionate use of the PASCAL transcatheter valve repair system for severe tricuspid regurgitation: a multicenter, observational, first-in-human experience. JACC Cardiovasc Interv, 2019, 12(24): 2488-2495.
19. Kitamura M, Fam NP, Braun D, et al. 12-month outcomes of transcatheter tricuspid valve repair with the PASCAL system for severe tricuspid regurgitation. Catheter Cardiovasc Interv, 2021, 97(6): 1281-1289.
20. Aurich M, Volz MJ, Mereles D, et al. Initial experience with the PASCAL Ace implant system for treatment of severe tricuspid regurgitation. Circ Cardiovasc Interv, 2021: CIRCINTERVENTIONS121010770.
21. 陈茂, 荆志成, 张浩, 等. 经导管三尖瓣置换治疗的现状与挑战. 中华心血管病杂志, 2021, 49(5): 420-424.
22. 潘文志, 龙愉良, 周达新, 等. 2020 年经导管瓣膜治疗主要进展. 中国胸心血管外科临床杂志, 2021, 28(4): 371-375.
23. 安朝, 陆方林. 2019 年三尖瓣介入治疗的新进展. 中华心血管病杂志(网络版), 2020, 3(1): 1-7.
24. Chang CC, Veen KM, Hahn RT, et al. Uncertainties and challenges in surgical and transcatheter tricuspid valve therapy: a state-of-the-art expert review. Eur Heart J, 2020, 41(20): 1932-1940.
25. Schlotter F, Miura M, Kresoja KP, et al. Outcomes of transcatheter tricuspid valve intervention by right ventricular function: a multicentre propensity-matched analysis. Eurolntervention, 2021, 17(14): e343-e352.
26. Taramasso M, Benfari G, van der Bijl P, et al. Transcatheter versus medical treatment of patients with symptomatic severe tricuspid regurgitation. J Am Coll Cardiol, 2019, 74(24): 2998-3008.
27. Ton-Nu TT, Levine RA, Handschumacher MD, et al. Geometric determinants of functional tricuspid regurgitation: insights from 3-dimensional echocardiography. Circulation, 2006, 114(2): 143-149.
28. Fukuda S, Saracino G, Matsumura Y, et al. Three-dimensional geometry of the tricuspid annulus in healthy subjects and in patients with functional tricuspid regurgitation: a real-time, 3-dimensional echocardiographic study. Circulation, 2006, 114(Suppl 1): 1492-1498.

West China Medical Journal

Transcatheter edge-to-edge repair for tricuspid regurgitation

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