29 Nov 2022
Surgical and transcatheter tricuspid intervention: state of the art - LIVE case
Tricuspid TEER, tricuspid + mitral TEER and tricuspid surgical ring
Operators:
N. Dumonteil, D. Tchetche
Procedural Analyst:
N. Piazza
Summary
In this PCR London Valves 2022 session, follow 3 stunning case treatments:
- Part 1: Triscupid TEER (Live)
A 78-year-old male with a history of CABG (2015), PM-CRT (2015) and atrial fibrillation, presents a severe TR with an LVEF of 40%, preserved RV function and moderate pulmonary hypertension.
They performed on general anaesthesia and TEE guidance 2 Triclips. - Part 2: Mitral and tricuspid TEER (recorded case)
A 77-year-old male with severe mitral and torrential tricuspid regurgitation with a PM and Dyalisis KT: The operators implant 2 Pascal Ace in mitral and 3 in tricuspid. - Part 3: Surgical tricuspid ring (recorded case)
An 80-year-old female presents a tricuspid elasthoma treated with a ring implanted on beating heart with a lateral mini-thoracotomy.
LIVE case from Clinique Pasteur - Toulouse, France
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Key moments
- 05:03 - 11:11 - Imaging analysis
- 20:45 - 22:05 - How to push a PM lead before treating TR
- 22:18 - 50:10 - A step-by-step Triclip procedure
- 51:24 - 58:10 - Procedural analysis
- 58:49 - 01:11:10 - Recorded case: 2 Pascal ACE in mitral and 3 in tricuspid
- 01:13:30 - 01:24:45 - Recorded: surgical tricuspid ring
Keywords: Tricuspid TEER, secondary MR TEER, Surgical Tricuspid ring, Pascal ACE, TriClip