Research, cases and webinars in tricuspid interventions

Brought to you by the PCR Tricuspid Focus Group

The mission of the PCR Tricuspid Focus Group is to facilitate innovation and the development of up-to-date standards of care for patients with tricuspid valve disease, by aligning knowledge, unifying practice and eliminating cultural barriers among physicians and associations worldwide. In this section you will find content created by the Focus Group members, including the Group's digital team: webinars, journal club reviews, news article and cases.

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Hemodynamic implications of TTVI on right heart function

Follow Karl-Philipp Rommel as he shares insights on physiology relevant to diagnosing and treating TR-related right heart failure.

In this video you will learn:

  • the theoretical implications of TR reduction for RV performance
  • the clinical implications of TR reduction for biventricular performance
Conclusion of Episode #3

Implications of TTVI

Previous episode

Hemodynamic implications of TTVI

Prognosis after transcatheter tricuspid interventions

Follow Karl-Philipp Rommel as he shares insights on physiology relevant to diagnosing and treating TR-related right heart failure.
In this video you will learn about:

  • the data supporting prognostic implications of interventional TR reduction
  • the prognostic value of hemodynamic factors
  • the importance of central venous congestion
Key messages of episode #4
  1. Mortality and HF Hospitalization: Prognostic Benefit of Intervention...
Prognostic hemodynamic factors

Pathophysiology of right ventricular volume/pressure load

Follow Karl-Philipp Rommel as he shares insights on physiology relevant to diagnosing and treating TR-related right heart failure.

In this video you will learn:

  • to recall the unique physiology of right ventricular function
  • to understand the implications of RV pressure and volume load using the pressure-volume-loop framework
  • to illustrate the...
Pathophysiology of right ventricular volume/pressure load

Hemodynamic diagnosis of tricuspid regurgitation/right heart failure

Follow Karl-Philipp Rommel as he shares insights on physiology relevant to diagnosing and treating TR-related right heart failure, starting in this first episode with the hemodynamic assessment.
In this video you will learn:

  • to recognize the intricate relationship between symptoms and hemodynamics in (TR-related) right heart failure.
  • to...
Hemodynamic diagnosis of tricuspid regurgitation/right heart failure

HF/RV function & TR Educational Series

05 Feb 2024

In this series of tutorials, Karl-Philipp Rommel (Leipzig, Germany) shares insights on physiology relevant to diagnosing and treating TR-related right heart failure.

HF/RV function & TR Educational Series

What does the interventionist need to know from the imager?

21 Nov 2023 – From PCR London Valves 2023

Take inspiration from the discussions on the case of a 78-year-old patient with HTN, HLD, and AF, presenting with symptomatic heart failure, or that of a 59-year-old female patient, former smoker, with HTN, DM, and persistent AF, who had been treated for breast carcinoma and post-chemotherapy...

What does the interventionist need to know from the imager?

Tricuspid valve intervention in complex scenarios - Patient and procedural optimisation

20 Nov 2023 – From PCR London Valves 2023

Watch this session to enhance your knowledge on optimizing patients throughout the entire transcatheter tricuspid valve intervention process— from pre-procedure preparation to post-procedural care. Learn effective strategies for managing immediate and early complications, refine post-procedural treatment plans, and gain insights into future strategies aimed at further...

Tricuspid valve intervention in complex scenarios - Patient and procedural optimisation

Tricuspid valve intervention in complex scenarios - Lead-related tricuspid regurgitation

20 Nov 2023 – From PCR London Valves 2023

Join this session to delve into the incidence, outcomes, and survival of patients experiencing tricuspid regurgitation following lead placement. Explore contemporary outcomes of transcatheter edge-to-edge repair for lead-related tricuspid regurgitation, and gain insights into imaging assessment approaches for this condition.

Tricuspid valve intervention in complex scenarios - Lead-related tricuspid regurgitation

Tricuspid valve intervention in complex scenarios - Tackling tricuspid regurgitation using a multidisciplinary approach

20 Nov 2023 – From PCR London Valves 2023

This session explores the diverse phenotypes of tricuspid regurgitation patients, emphasizing the clinical implications and advocating for a multidisciplinary approach to assessment and treatment. It covers TR clinical courses, investigation pathways, and case scenarios, including atrial fibrillation, heart failure (preserved and reduced ejection fraction), pulmonary hypertension,...

Tricuspid valve intervention in complex scenarios - Tackling tricuspid regurgitation using a multidisciplinary approach

Key questions in tricuspid valve intervention - How do I define treatment options according to individual patient anatomy?

19 Nov 2023 – From PCR London Valves 2023

Explore this tricuspid valve-focused session featuring analysis of four clinical cases: Ebstein anomaly, severe and torrential tricuspid regurgitations, and anterior flail-related torrential regurgitation. Gain insights into optimal treatment selection for each scenario, leveraging pre-procedural imaging for informed decision-making.

Key questions in tricuspid valve intervention - How do I define treatment options according to individual patient anatomy?

Key questions in tricuspid valve intervention - How does the role of the right heart and pulmonary vasculature influence patient selection?

19 Nov 2023 – From PCR London Valves 2023

Explore insights from an 86-year-old female patient's case with TAVR since end-2022 who presented with permanent AF, moderate MR and TR regurgitation, and learn more about right heart catheterisation for patient selection, CT and CMR in tricuspid interventions, criteria for atrial secondary TR, and more!

How does the role of the right heart and pulmonary vasculature influence patient selection?

Key questions in tricuspid valve intervention - What can cardiologists learn from surgeons when choosing to repair or replace the tricuspid valve?

19 Nov 2023 – From PCR London Valves 2023

Watch this session to explore the latest approaches in surgical and transcatheter tricuspid valve repair and replacement. Gain insights into the influence of right ventricular dysfunction and pulmonary hypertension on post-procedural outcomes, and understand the bleeding risks linked to oral anticoagulation in patients with tricuspid valve...

Key questions in tricuspid valve intervention - What can cardiologists learn from surgeons when choosing to repair or replace the tricuspid valve?

Atrial functional tricuspid regurgitation: Importance of atrial fibrillation and right atrial remodeling and prognostic significance

18 Jul 2023

- When tricuspid regurgitation “begets” tricuspid regurgitation -

Edoardo Zancanaro

Reviewer

Edoardo Zancanaro
Atrial functional tricuspid regurgitation importance of atrial fibrillation and right atrial remodeling and prognostic significance. When tricuspid regurgitation “begets” tricuspid regurgitation

Short-term outcomes of tricuspid edge-to-edge repair in clinical practice – bRIGHT study

12 Jun 2023

The aim of the b-RIGHT study was to assess the safety and performance of T-TEER using the TriClip (Abbott) in a contemporary, real-world setting...

Jonathan Curio

Reviewer

Jonathan Curio
Fabien Praz

Reviewer

Fabien Praz
Mirjam Wild

Reviewer

Mirjam Wild
Short-term outcomes of tricuspid edge-to-edge repair in clinical practice – bRIGHT study

Transcatheter tricuspid valve interventions

17 May 2023 – From EuroPCR 2023

Consult this session if you want to understand clinical scenarios associated with tricuspid regurgitation, to learn the state of the art in devices and indications to treat tricuspid regurgitation, and to deepen into the available evidence of outcomes of different therapies for tricuspid regurgitation.

Transcatheter tricuspid valve interventions

Triluminate trial: how these data impact my practice

In this video, members of the PCR Tricuspid Focus Group Nicole Karam and Ralph Stephan von Bardeleben, discuss the results of the Triluminate trial with David Adams and Paul Sorajja. Together they comment on the take-home messages presented during the ACC.23/WCC scientific sessions and how this...

Triluminate trial: how these data impact my practice

Triluminate trial: deep dive into the outcomes

In this video, members of the PCR Tricuspid Focus Group Nicole Karam and Ralph Stephan von Bardeleben talk with David Adams and Paul Sorajja about the first landmark trial in the field of tricuspid valve disease, Triluminate. Together they discuss the results presented during the ACC.23/WCC...

Triluminate trial: deep dive into the outcomes

TRILUMINATE pivotal: A landmark randomized clinical trial of transcatheter tricuspid valve edge-to-edge repair for tricuspid regurgitation

04 Mar 2023

Jonathan Curio and Alex Sticchi provide their take on this clinical trial which was presented by Paul Sorajja at the American College of Cardiology Scientific Session (ACC.23/WCC).

Alessandro Sticchi

Author

Alessandro Sticchi
Jonathan Curio

Author

Jonathan Curio
Live from ACC.23/WCC: TRILUMINATE pivotal

Sex-related characteristics and short-term outcomes of patients undergoing transcatheter tricuspid valve intervention for tricuspid regurgitation

26 Dec 2022

Population-based studies show a higher prevalence of significant TR in women and following that in published and ongoing trials on TTVI more women than men were enrolled. However, so far it has not been investigated whether such differences in epidemiology also would affect TTVI outcomes...

Jonathan Curio

Reviewer

Jonathan Curio
Alessandro Sticchi

Reviewer

Alessandro Sticchi
Sex-related characteristics and short-term outcomes of patients undergoing transcatheter tricuspid valve intervention for tricuspid regurgitation

Acute kidney injury following tricuspid transcatheter edge-to-edge repair

17 Oct 2022

Although tricuspid regurgitation has for a long time been “the forgotten valve”, recently there has been a rising awareness of the disease with several important studies investigating its pathophysiology and treatment.

Antonio Mangieri

Reviewer

Antonio Mangieri
Alessandro Sticchi

Reviewer

Alessandro Sticchi
Acute kidney injury following tricuspid transcatheter edge-to-edge repair