20 Nov 2023
Complex transcatheter mitral and tricuspid interventions - Recorded cases
Percutaneous annuloplasty for advanced heart failure and massive tricuspid regurgitation
Procedural Analyst:
J. Khan
Anchorperson:
P. MacCarthy
Summary
This session features two compelling cases of percutaneous annuloplasty for advanced heart failure and massive tricuspid regurgitation:
- Left ventricular restoration in heart failure with reduced ejection fraction
A 56-year-old male, with type 2 diabetes, hypertension and chronic kidney disease, presented a symptomatic severe LV dysfunction (26%) and severely dilated (78 mm). The operators decided to implant an AccuCinch system. - Cardioband in tricuspid regurgitation
An 85-year-old female with a preserved LV function (HFpEF) presented a symptomatic massive TR with severe RA dilatation without pulmonary hypertension. The operators implanted a Cardioband.
Recorded cases from Montefiore Einstein Medical Center, New York, USA, and Bad Oeynhausen, Germany
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Key moments
Case 1
- 6:17-9:17 - Device presentation & procedural strategy
- 15:54-19:41 - Device implantation
- 34:55-38:15 - Procedural analysis
Case 2
- 43:46-44:54 - Device presentation
- 46:09-48:38 - Device implantation
- 59:38-1:02:20 - Procedural analysis
Keywords: Tricuspid regurgitation, HFpEF, Cardioband, AccuCinch system
Learning Objectives
- To hear about the latest innovations in transcatheter mitral and tricuspid intervention
- To understand the essential steps for patient selection and procedural performance
- To appreciate how these interventions extend the range of treatment options for patients in challenging clinical and anatomical settings
