Pulse Brain · Growing Health Evidence Index
Tier 4 — Narrative / commentaryPeer-reviewed

Echocardiographic Imaging Considerations for Post-Implant Evaluation of the Transcatheter EVOQUE Tricuspid Valve Replacement System

Anna Sannino, Federica Ilardi, Rebecca T. Hahn, Mehrnoush Toufan, Katie Nickolite, Vratika Agarwal, Benjamin Havens, Ivy Ku, Frank E. Silvestry, Ludwig T. Weckbach, Patrick Gleason, Mias Pretorius, Edwin C. Ho, John A. Tulloch, T. Ruf, Joshua M. Cohen, Neal Duggal, Partho P. Sengupta, Noreen Kelly, Bassem Chehab, Johanna Vogelhuber, Siddharth Vad, Florian Deuschl, Vinod H. Thourani, Philipp Lurz, Susheel Kodali, Paul Grayburn

JACC. Cardiovascular imaging · 2025

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Summary

This narrative review outlines essential echocardiographic imaging considerations for post-implantation evaluation of the transcatheter EVOQUE tricuspid valve replacement system, an approved device for symptomatic severe tricuspid regurgitation refractory to medical therapy. The review synthesises imaging protocols required to assess device positioning, haemodynamic performance, and procedure-related complications including residual regurgitation, paravalvular leak, and interactions with adjacent cardiac structures. The guidance aims to standardise post-procedural echocardiographic assessment protocols in clinical practice.

Regional applicability

This review addresses imaging requirements for a device approved in both the United States and Europe, including the United Kingdom. The echocardiographic assessment protocols outlined are likely applicable to UK practice, though implementation would depend on adoption of the EVOQUE system within the National Health Service and specialist cardiac centres.

Key measures

Echocardiographic assessment of device positioning and stability, residual tricuspid regurgitation, paravalvular leak, valve thrombosis/degeneration, device–right ventricular interaction, and pacemaker lead placement

Outcomes reported

The paper reviews echocardiographic imaging protocols for post-implantation assessment of the EVOQUE tricuspid valve replacement system, focusing on device positioning, stability, and complications.

Theme
Measurement & metrics
Subject
Measurement methods & nutrient profiling
Study type
Narrative Review
Study design
Narrative review
Source type
Peer-reviewed study
Status
Published
Geography
United States
System type
Human clinical
DOI
10.1016/j.jcmg.2025.06.011
Catalogue ID
SNmpeyupma-xaawb4

Topic tags

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