Advances in the Assessment of Patients With Tricuspid Regurgitation : A State-of-the-Art Review on the Echocardiographic Evaluation Before and After Tricuspid Valve Interventions
Badano, Luigi P (Istituto Auxologico Italiano)
Tomaselli, Michele (University of Milano-Bicocca)
Muraru, Denisa (Istituto Auxologico Italiano)
Galloo, Xavier (University Hospital Brussels)
Li, Chi Hion (Institut de Recerca Sant Pau)
Ajmone Marsan, Nina (Leiden University Medical Center)
Universitat Autònoma de Barcelona

Date:	2024
Abstract:	Tricuspid regurgitation (TR) can have a significant impact on the health and mortality of a patient. Unfortunately, many patients with advanced right-sided heart failure are not referred for isolated tricuspid valve (TV) surgery in a timely manner. This delayed referral has resulted in a high in-hospital mortality rate and significant undertreatment. Fortunately, transcatheter TV intervention (TTVI) has emerged as a safe and effective alternative to surgery, successfully reducing TR severity and improving patients' quality of life. Current guidelines emphasize the importance of assessing TR severity and its impact on the right heart chambers for selecting the appropriate intervention. However, the echocardiographic assessment of both right chambers and TV anatomy, along with TR severity, poses specific challenges, leading to the underestimation of TR severity. Recently, three-dimensional echocardiography has become crucial to enhance the characterization of TR severity. Moreover, it is essential to evaluate residual TR after TTVI to gauge the intervention's success and predict the patient's prognosis. This review provides a thorough evaluation of the echocardiographic parameters used to assess TR severity before and after TTVI. It presents a critical analysis of the accuracy and reliability of these parameters, highlighting their strengths and limitations to establish standardized diagnostic criteria and treatment protocols for TR, which will inform clinical decision-making and improve patient outcomes.
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article de revisió ; recerca ; Versió publicada
Subject:	Native tricuspid valve ; Right atrium ; Right ventricle ; Transcatheter tricuspid valve intervention ; Tricuspid regurgitation grading
Published in:	Journal of the American Society of Echocardiography, Vol. 37 Núm. 11 (november 2024) , p. 1083-1102, ISSN 1097-6795

DOI: 10.1016/j.echo.2024.07.008
PMID: 39029717

20 p, 4.2 MB

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Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Institut de Recerca Sant Pau
Articles > Research articles
Articles > Published articles