Fazzari Fabio, Cannata Francesco, Maurina Matteo, Bragato Renato Maria, Francone Marco
Department of Biomedical Sciences, Humanitas University, 20090 Pieve Emanuele, Milan, Italy.
Department of Cardiovascular Medicine, IRCCS Humanitas Research Hospital, 20089 Rozzano, Milan, Italy.
Rev Cardiovasc Med. 2022 May 30;23(6):199. doi: 10.31083/j.rcm2306199. eCollection 2022 Jun.
Tricuspid valve disease represents a major health problem that affects a wide proportion of heart failure patients with a significant prognostic impact. In recent years an increasing number of minimally invasive and transcatheter treatments have been developed. The choice of the optimal transcatheter device therapy needs a careful patient selection and a dedicated anatomic assessment, mainly based on echocardiographic and computed tomography evaluation. Moreover, cardiac magnetic resonance has an established role in the functional assessment of right heart chambers with relevant prognostic implications. In this review we describe the role of multimodality imaging in the tricuspid valve disease assessment with an intervention-oriented perspective, from the pre-operative planning for different devices to the intraprocedural guide during transcatheter edge-to-edge repair.
三尖瓣疾病是一个重大的健康问题，影响着很大比例的心力衰竭患者，对预后有重大影响。近年来，已开发出越来越多的微创和经导管治疗方法。选择最佳的经导管器械治疗需要仔细的患者选择和专门的解剖学评估，主要基于超声心动图和计算机断层扫描评估。此外，心脏磁共振成像在右心腔功能评估中具有既定作用，对预后有重要影响。在本综述中，我们从以干预为导向的角度描述多模态成像在三尖瓣疾病评估中的作用，从不同器械的术前规划到经导管缘对缘修复术中的引导。
