Department of Cardiology, University Hospital Erlangen, Friedrich-Alexander-Universität Erlangen-Nuremberg, Ulmenweg 18, 91054, Erlangen, Germany.
Curr Cardiol Rep. 2021 Aug 19;23(10):139. doi: 10.1007/s11886-021-01570-8.
New transcatheter techniques to perform tricuspid annuloplasty are evolving and are introduced into the clinical routine. Yet, clinical experience is limited.
Currently, 3 different techniques for tricuspid annuloplasty have been used in larger clinical cohorts. They can be divided into direct annuloplasty techniques and suture plication techniques. The largest clinical evidence is related to direct annuloplasty techniques. It has been shown that annular dimensions can be effectively reduced. This translates into an improvement of the degree of tricuspid regurgitation and improvement of clinical symptoms. Due to the newness of this type of therapy, long-term data is limited, but for one of the described techniques, published data show that the positive effects persist over a 2-year period. Transcatheter approaches are safe and are able to treat tricuspid regurgitation effectively. There are still differences in the efficacy of the different techniques. Clinical experience varies among the different approaches.
新的经导管三尖瓣环成形术技术正在不断发展，并已引入临床常规。然而，临床经验有限。
目前，已有 3 种不同的三尖瓣环成形术技术在更大的临床队列中得到应用。它们可分为直接环成形术技术和缝合环缩术技术。最大的临床证据与直接环成形术技术有关。已经表明，环的尺寸可以有效减小。这转化为三尖瓣反流程度的改善和临床症状的改善。由于这种治疗类型的新颖性，长期数据有限，但对于描述的技术之一，已发表的数据表明，积极的效果在 2 年内持续存在。经导管方法是安全的，能够有效治疗三尖瓣反流。不同技术的疗效仍存在差异。不同方法的临床经验也有所不同。
