Tricuspid Clip: Step-by-Step and Clinical Data

Interv Cardiol Clin. 2018 Jan;7(1):37-45. doi: 10.1016/j.iccl.2017.09.001. Epub 2017 Nov 6.

Abstract

Symptomatic severe tricuspid regurgitation (TR), if untreated, carries a dismal prognosis. These patients are at very high risk for surgical repair or replacement and transcatheter options to treat TR are emerging. More than 300 transcatheter tricuspid repairs with the MitraClip system have been performed worldwide with promising results. The TriClip system, with the MitraClip NT delivered via a dedicated tricuspid steerable guide catheter, is currently under investigation. This article describes the step-by-step technique on using the MitraClip system to perform transcatheter tricuspid repair using echocardiographic and fluoroscopic guidance. The latest data on worldwide experience with tricuspid clipping are also discussed.

Keywords: MitraClip; Pacemaker lead; Tricuspid regurgitation.

Publication types

  • Review

MeSH terms

  • Cardiac Catheterization / instrumentation*
  • Clinical Protocols*
  • Echocardiography, Transesophageal
  • Equipment Design
  • Heart Valve Prosthesis Implantation / instrumentation*
  • Humans
  • Surgical Instruments*
  • Tricuspid Valve / diagnostic imaging
  • Tricuspid Valve / surgery*
  • Tricuspid Valve Insufficiency / diagnosis
  • Tricuspid Valve Insufficiency / surgery*