Transcatheter Tricuspid Valve Replacement for Tricuspid Regurgitation: A Systematic Review and Meta-analysis

Buğan, Barış; Çekirdekçi, Elif İjlal; Onar, Lütfi Çağatay; Barçın, Cem

doi:10.5152/anatoljcardiol.2022.1440

Cited by 10 publications

(6 citation statements)

References 34 publications

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“…Our analysis showed that the length of stay in an open TVR was almost double that of TTVR [23.07 vs. 9.8]. A study performed by Buğan et al found that the average length of stay was 10.7 days in patients with TTVR, which is similar to our study [14]. Data shows that during cardiac surgery, around 0.2% to 6% of patients can develop post cardiotomy cardiogenic shock, this is characterized by tissue hypo-perfusion and end-organ damage despite adequate preload [38].…”

Section: Discussionsupporting

confidence: 90%

“…However, there has been a recent increase in trans-catheter tricuspid valve interventions for severe symptomatic tricuspid valvular diseases, especially in patients at higher risk with isolated tricuspid valve disease [11,12]. These interventions did show an improvement in functional status and reduction in severity of valvular disease and mortality [13,14]. Although, we have seen significant advances in trans-catheter treatments for mitral and aortic valves, transcatheter interventions for tricuspid valve are still in the developmental phase [15].…”

Section: Introductionmentioning

confidence: 99%

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National Estimates for the Percentage of all Readmissions With Demographic Features, Morbidity, Overall and Gender-specific Mortality of Transcutaneous vs Open Surgical Tricuspid Valve Replacement/Repair

Khan

Baqi

Ghumman

et al. 2023

Preprint

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Aims: To determine national estimates for the percentage of all readmissions with demographic features, length of stay, cost analysis, comorbidities, overall and gender-specific mortality, and complications of transcutaneous Tricuspid replacement/repair [TTVR] vs. open surgical tricuspid valve replacement/repair [Open TVR]. Methods: Data was extrapolated from the NRD databases 2015-19. Of the 75,266,750 (unweighted) cases recorded in the 2015 ? 2019 dataset, 429 had one or more of the percutaneous approach codes as per the ICD-10 data set, and 10077 had one or more of the open approach codes. Results: Overall, the number of cases performed each year through open TVR was higher than TTVR, but there was an increased trend towards the TTVR every passing year. TTVR was performed more in females and advanced age groups than open TVR. The length of stay and cost was lower in the TTVR group than in open TVR. Patients undergoing TTVR had more underlying comorbidities like CHF, HTN, and uncomplicated DM. Overall mortality was 3.49 % in TTVR vs. 6.09% in open TVR. Gender-specific analysis demonstrated higher female mortality in the open TVR compared to TTVR (5.45% vs. 3.03 %). Male mortality was statistically insignificant between the two groups (6.8%% vs. 4.3%, p-value 0.15%). Patients with TTVR had lower rates of complications than open TVR, except for arrhythmias, which were higher in TTVR. Patients undergoing open TVR required more intracardiac support, such as IABP and Impella, than TTVR. Conclusion: Transcatheter tricuspid valve replacement/repair is an emerging alternative to open surgical repair/replacement in patients with tricuspid valve diseases, especially tricuspid regurgitation. Despite having more underlying comorbidities, the TTVR group had lower in-hospital mortality, hospital cost, length of stay, and fewer complications than open TVR.

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

National Estimates for the Percentage of all Readmissions With Demographic Features, Morbidity, Overall and Gender-specific Mortality of Transcutaneous vs Open Surgical Tricuspid Valve Replacement/Repair

Khan

Baqi

Ghumman

et al. 2023

Preprint

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“…20 With emerging technology and expertise, TTVR may become an attractive option for patients with prohibitive surgical risk or ineligibility to TTVr. 21 This review highlights patient selection for TTVR, various types of TTVR devices, technical considerations for the procedure, and procedural planning for orthotopic TTVR (prosthetic valve deployed at the tricuspid annulus).…”

mentioning

confidence: 99%

Transcatheter Tricuspid Valve Replacement: Case Selection, Technical Considerations, and Procedural Planning

Shabbir,

Yadav,

Tiwari

et al. 2023

US Cardiol

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Tricuspid regurgitation (TR) is a highly prevalent valve disorder in the US, with prevalence increasing with age. Without treatment, severe TR carries a poor prognosis. Tricuspid valve (TV) surgery is recommended for patients with severe TR undergoing left-sided valve surgery. Transcatheter TV repair or transcatheter TV replacement are potential options for patients who are not surgical candidates. A few small studies have demonstrated the feasibility and efficacy of transcatheter TV repair in patients with severe symptomatic TR. Careful patient selection by assessing tricuspid valve anatomy, right ventricular and pulmonary hemodynamics, candidacy for anticoagulation, comorbid conditions, and frailty is key to procedural success. Transcatheter TV repair can be performed via the transjugular or transfemoral access, and requires a large-caliber sheath (up to 45 Fr) and delivery system, particularly with dilated tricuspid annulus due to right ventricular enlargement. Multimodality imaging is essential for diagnosing TR severity, defining valve anatomy, and comprehensive functional assessment of the tricuspid valve, right atrium, and right ventricle. Several prosthetic valves, including the EVOQUE system, NaviGate system, Intrepid valve, and Cardiovalve, are currently being investigated in clinical trials.

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“…We thank the authors for their interest in our article 1 and for sharing their clinical experience with the patients receiving transcatheter tricuspid valve replacement (TTVR) with LuX-Valve in perioperative physiotherapy and nursing intervention.…”

mentioning

confidence: 99%

Reply to Letter to the Editor: “Physiotherapy and Nursing Intervention in Transcatheter Tricuspid Valve Replacement”

Buğan

Çekirdekçi

Onar³

et al. 2022

The Anatolian Journal of Cardiology

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Transcatheter Tricuspid Valve Replacement for Tricuspid Regurgitation: A Systematic Review and Meta-analysis

Cited by 10 publications

References 34 publications

National Estimates for the Percentage of all Readmissions With Demographic Features, Morbidity, Overall and Gender-specific Mortality of Transcutaneous vs Open Surgical Tricuspid Valve Replacement/Repair

National Estimates for the Percentage of all Readmissions With Demographic Features, Morbidity, Overall and Gender-specific Mortality of Transcutaneous vs Open Surgical Tricuspid Valve Replacement/Repair

Transcatheter Tricuspid Valve Replacement: Case Selection, Technical Considerations, and Procedural Planning

Reply to Letter to the Editor: “Physiotherapy and Nursing Intervention in Transcatheter Tricuspid Valve Replacement”

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