Tricuspid Regurgitation: Predicting the Need for Intervention, Procedural Success, and Recurrence of Disease

JACC Cardiovasc Imaging. 2019 Apr;12(4):605-621. doi: 10.1016/j.jcmg.2018.11.034.

Abstract

Interest in tricuspid valve pathology has rapidly expanded in response to reported poor clinical outcome for functional tricuspid regurgitation and the limited indications and options for treatment. In the past few years, different transcatheter technologies have emerged as alternatives to conventional surgery to serve this untreated high-risk population. In this review, the authors explore the indications for intervention in tricuspid regurgitation according to current guidelines, the published research to support the expansion of these indications including the role of transcatheter interventions, and the risk factors for therapy failure, which may help define the appropriate patient population for treatment.

Keywords: tricuspid intervention; tricuspid regurgitation; tricuspid valve.

Publication types

  • Review

MeSH terms

  • Cardiac Valve Annuloplasty* / adverse effects
  • Cardiac Valve Annuloplasty* / mortality
  • Heart Valve Prosthesis Implantation* / adverse effects
  • Heart Valve Prosthesis Implantation* / mortality
  • Hemodynamics*
  • Humans
  • Postoperative Complications / etiology
  • Recovery of Function
  • Recurrence
  • Risk Factors
  • Time Factors
  • Treatment Outcome
  • Tricuspid Valve / diagnostic imaging
  • Tricuspid Valve / physiopathology
  • Tricuspid Valve / surgery*
  • Tricuspid Valve Insufficiency / diagnostic imaging
  • Tricuspid Valve Insufficiency / physiopathology
  • Tricuspid Valve Insufficiency / surgery*