14 Feb 2026
TEER in complex tricuspid regurgitation - LIVE case
Tricuspid regurgitation with 4 valves: TEER with 3 clips
Operators:
D. Walters, N. Aroney
Procedural Analyst:
S. C. C. Lam
Summary
A 79-year-old male with permanent AF, prior colorectal and prostate cancer, and a Mosaic bioprosthetic mitral valve implanted in 2016, presented with torrential tricuspid regurgitation and preserved LV function.
Three G5 clips were implanted: two anteroseptal (1 XTW and 1 XT) and one posteroseptal XTW.
LIVE Educational Case from The Prince Charles Hospital, Metro North Health - Brisbane, Australia
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Key moments
- 22:47–27:20 – Presentation of the G5 system
- 34:27–45:00 – Two anteroseptal G5 implantations
- 46:40–1:31:12 – Posteroseptal G5 XTW release
Keywords: Tricuspid regurgitation, 3 clips, G5
Learning Objectives
- To understand patient selection and procedural planning for tricuspid TEER, integrating multimodality imaging and anatomical considerations
- To demonstrate step-by-step procedural strategies and decision-making during tricuspid TEER
- To discuss post-procedural assessment and clinical impact, focusing on echocardiographic evaluation and short-term patient outcomes
