Repair or replace the tricuspid valve: how to decide?

With the collaboration of the PCR Tricuspid Focus Group

Anchorperson: S. Dawkins
Spokesperson: M. Wild
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Summary

This session focuses on decision-making in tricuspid valve interventions, balancing the choice between repair and replacement. It covers clinical and anatomical criteria guiding treatment selection, pacing lead management from an electrophysiological and surgical perspective, and the application of multimodality imaging—including TTE, TOE, and CT—to inform real-world clinical decisions in tricuspid regurgitation.

Learning Objectives

  • To understand the clinical and anatomical criteria that guide selection between tricuspid repair and replacement
  • To learn practical strategies for managing pacing leads in patients undergoing tricuspid intervention
  • To apply a multimodality imaging framework (TTE, TOE, CT) to real-world decision-making in tricuspid regurgitation

Presentations available when logged in:

  • Case 1 - The “borderline” repair – TEER in the presence of a lead
  • The surgeon's perspective
  • Case 2- Transition to transcatheter tricuspid valve replacement