Cardiothoracic & vascular anesthesia

Intraprocedural 3- and 2-Dimensional Transesophageal Echocardiographic Evaluation of Tricuspid Valve Annular Geometry After Edge-to-Edge Repair Using 2 Clips

J Cardiothorac Vasc AnesthPublished Prospective observational study

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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