Transcatheter valve implantation for degenerated tricuspid bioprosthesis and failed tricuspid ring. 2021

Shmuel Chen, and Lyle Dershowitz, and Isaac George
Division of Cardiac, Thoracic & Vascular Surgery, Columbia University Irving Medical Center/NewYork-Presbyterian Hospital, New York, NY, USA.

BACKGROUND Transcatheter tricuspid valve-in-valve (TViV) and valve in-ring (TViR) implantation have become a viable therapy for a failed tricuspid bioprosthesis. Here we report short (thirty days) and long (one-year) term clinical outcomes of ten patients who underwent TViV at our institution. METHODS The electronic databases of New York Presbyterian Columbia Medical Center were retrospectively reviewed for cases of transcatheter tricuspid valve replacement (TViV or TViR). Between 2012 and 2019, data from ten patients who underwent TViV were collected. The primary safety outcome was procedure-related adverse events, including clinically evident cardiac perforation, new pericardial effusion and sustained ventricular arrhythmia. The primary efficacy endpoint was defined as successful valve deployment with total (paravalvular or intravalvular) tricuspid regurgitation (TR) estimated as mild or less. Results are descriptive in nature. RESULTS A total of ten patients who underwent TViV were included in the study. Of them, 40% presented with isolated tricuspid bioprosthetic stenosis (TS), 20% with isolated TR and 40% with mixed TS and TR. All patients were treated with the SAPIEN valve (first generation, XT, or Sapien 3). The TViV procedure was successful in all patients, and no immediate post-replacement paravalvular leak (PVL) or intra-procedural complications were reported. The primary safety and efficacy endpoints were met in all patients. At thirty-days, all patients were alive and reported significant improvements in symptoms and functional status. CONCLUSIONS Transcatheter tricuspid valve implantation is a safe and effective therapy for degenerative tricuspid bioprosthesis.

UI MeSH Term Description Entries

Related Publications

Shmuel Chen, and Lyle Dershowitz, and Isaac George
February 2023, Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions,
Shmuel Chen, and Lyle Dershowitz, and Isaac George
December 2011, Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions,
Shmuel Chen, and Lyle Dershowitz, and Isaac George
July 2013, The Journal of thoracic and cardiovascular surgery,
Shmuel Chen, and Lyle Dershowitz, and Isaac George
January 2024, Journal of clinical medicine,
Shmuel Chen, and Lyle Dershowitz, and Isaac George
January 2019, Hellenic journal of cardiology : HJC = Hellenike kardiologike epitheorese,
Shmuel Chen, and Lyle Dershowitz, and Isaac George
August 2019, JACC. Cardiovascular interventions,
Shmuel Chen, and Lyle Dershowitz, and Isaac George
January 2017, Postepy w kardiologii interwencyjnej = Advances in interventional cardiology,
Shmuel Chen, and Lyle Dershowitz, and Isaac George
January 2021, Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir,
Shmuel Chen, and Lyle Dershowitz, and Isaac George
May 2012, Revista portuguesa de cardiologia : orgao oficial da Sociedade Portuguesa de Cardiologia = Portuguese journal of cardiology : an official journal of the Portuguese Society of Cardiology,
Shmuel Chen, and Lyle Dershowitz, and Isaac George
January 2016, The Israel Medical Association journal : IMAJ,
Copied contents to your clipboard!