Cardiothoracic & vascular anesthesia
Intraprocedural 3- and 2-Dimensional Transesophageal Echocardiographic Evaluation of Tricuspid Valve Annular Geometry After Edge-to-Edge Repair Using 2 Clips
Authors' conclusion
Our data suggest that TV TEER results in a reduction in all annular measurements in patients with residual TR equal to or less than moderate.
Study context
- Population
- Elective patients undergoing tricuspid valve (TV) transcatheter edge-to-edge repair (TEER) for secondary tricuspid regurgitation (TR), tertiary-care cardiac surgical center
- Participants
- 50 patients
- Exposure
- TV annulus dimensions before vs after TV TEER with 2 clips
- Outcome
- Immediate post-procedural change in minimum and maximum TV annulus diameters, circumference and area measured by 3D transesophageal echocardiography (TEE)
- Follow-up
- Immediate post-procedural
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
Maximum TV annular diameter: mean 48.14 ± 4.79 mm before vs 45.88 ± 4.78 mm after; p < 0.001;
−4.47%
CI 2.42%–6.52%
Minimum TV annular diameter: mean 38.00 ± 4.38 mm before vs 33.28 ± 5.35 mm after; p < 0.001;
−0.18%
CI 0.04%–0.32%
Observational data: associations, not effects.
Further findings
Annular measurements by residual TR (subgroup)
- All measurements significantly reduced in patients with residual TR ≤ moderate but not in other patients
Clip location
- Clip location did not seem to affect changes in annular dimensions
Original publication
Intraprocedural 3- and 2-Dimensional Transesophageal Echocardiographic Evaluation of Tricuspid Valve Annular Geometry After Edge-to-Edge Repair Using 2 Clips. J Cardiothorac Vasc Anesth. Published 17 November 2025. doi:10. 1053/ j. jvca. 2025. 11. 010
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