Tricuspid Valve Transcatheter Edge-To-Edge Repair Guidance with Transesophageal Echocardiography and Intracardiac Echocardiography

Interv Cardiol Clin. 2024 Jan;13(1):1-10. doi: 10.1016/j.iccl.2023.08.004. Epub 2023 Sep 21.

Abstract

As transcatheter tricuspid interventions have emerged, especially edge-to-edge repair, imaging has shown to be key in optimizing transcatheter outcomes. Given the location of the tricuspid valve relative to the esophagus, transesophageal echocardiography has proven difficult and utilization of three-dimensional (3D) multiplanar reconstruction has become essential. Three-dimensional intracardiac echocardiography is a useful imaging adjunct for tricuspid edge-to-edge repair. As 3D intracardiac echocardiography evolves, it may supplant transesophageal echocardiography as the imaging modality of choice in transcatheter tricuspid valve interventions.

Keywords: Interventional echocardiography; Intracardiac echocardiography (ICE); Multiplanar reconstruction (MPR); Transcatheter edge-to-edge repair (TEER); Transcatheter tricuspid valve repair; Transesophageal echocardiography (TEE); Tricuspid regurgitation.

Publication types

  • Review

MeSH terms

  • Echocardiography, Three-Dimensional* / methods
  • Echocardiography, Transesophageal / methods
  • Humans
  • Tricuspid Valve / diagnostic imaging
  • Tricuspid Valve / surgery
  • Tricuspid Valve Insufficiency* / diagnostic imaging
  • Tricuspid Valve Insufficiency* / surgery