Summary
This clinical review examines surgical and transcatheter approaches to treating severe tricuspid regurgitation in heart failure patients. Surgical repair with ring annuloplasty shows superior outcomes compared to replacement, though uptake remains low and operative mortality remains high due to late referral and advanced disease. Transcatheter edge-to-edge repair and transcatheter valve replacement demonstrate improved quality of life versus medical therapy in high-surgical-risk patients, with emerging caval valve implantation techniques offering potential for those unsuitable for other interventions.
Regional applicability
This paper is a clinical cardiology review with no direct relevance to farming systems, soil health, nutrient density, or food-related human health outcomes. It is outside the scope of Vitagri's Pulse Brain, which focuses on food systems and nutrition.
Key measures
Operative mortality rates; quality of life; device success rates; right ventricular function optimisation
Outcomes reported
The review summarises current surgical and transcatheter interventions for tricuspid regurgitation, comparing outcomes between repair techniques and assessing quality-of-life improvements with transcatheter approaches versus medical therapy alone.
Topic tags
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