Aoi Shunsuke, Wiley Jose, Ho Edwin, Goldberg Ythan, Chau Mei, Latib Azeem
Department of Cardiology, Montefiore Medical Center, Bronx, NY 10467, USA.
Future Cardiol. 2021 Sep;17(6):963-969. doi: 10.2217/fca-2020-0181. Epub 2021 Jan 29.
Historically considered the 'forgotten valve', there has been increasing attention on the percutaneous transcatheter treatment of tricuspid regurgitation (TR). Prevalence of TR is high in the elderly population and prior studies have shown worse outcomes in patients with severe TR. Advances in transcatheter-based therapies have shed a new light in the treatment of TR and one such treatment option is tricuspid valve replacement with the Cardiovalve system. This device is approved as an early feasibility study in the US and also approved for clinical study in Germany, Italy and Switzerland. The Cardiovalve device is in the early stage of clinical studies and this article reviews the existing clinical data and future studies on percutaneous transcatheter treatment of severe TR.
历史上曾被视为“被遗忘的瓣膜”,如今经皮导管治疗三尖瓣反流(TR)受到越来越多的关注。TR在老年人群中患病率很高,先前的研究表明,重度TR患者的预后较差。基于导管的治疗方法的进展为TR的治疗带来了新的曙光,其中一种治疗选择是使用Cardiovalve系统进行三尖瓣置换。该装置在美国被批准用于早期可行性研究,在德国、意大利和瑞士也被批准用于临床研究。Cardiovalve装置正处于临床研究的早期阶段,本文回顾了现有的临床数据以及关于经皮导管治疗重度TR的未来研究。