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经导管三尖瓣反流介入治疗的多模态影像学：被遗忘瓣膜的新方法。

Multimodality Imaging for Transcatheter Tricuspid Regurgitation Interventions: Novel Approaches to the Forgotten Valve.

机构信息

Department of Biomedical Sciences and Public Health, Marche Polytechnic University, Ancona, Italy.

Cardiology and Arrhythmology Clinic, Department of Cardiovascular Sciences, Azienda Ospedaliero Universitaria delle Marche, Ancona, Italy.

出版信息

Echocardiography. 2024 Dec;41(12):e70044. doi: 10.1111/echo.70044.

DOI:10.1111/echo.70044
PMID:39611375
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11605784/
Abstract

Tricuspid regurgitation (TR) poses a significant healthcare burden and is a major concern for patients who experience debilitating symptoms and face a poorer prognosis. Cardiologists are showing renewed interest in TR, as the previous belief that it was merely a bystander of left-sided heart disease has evolved. As a result, more transcatheter techniques addressing TR are emerging. Although a clear impact on mortality from these transcatheter tricuspid valve interventions (TTVI) has not yet been demonstrated, the improvement in symptoms and quality of life for patients is substantial, leading to increased use of these procedures in clinical practice. In this review, we focus on multimodality imaging as an essential tool for quantifying TR severity, assessing right ventricular (RV) function, understanding the underlying mechanisms, selecting the appropriate intervention, and ensuring thorough and accurate preprocedural planning to minimize complications.

摘要

三尖瓣反流（TR）给医疗保健带来了重大负担，是那些经历衰弱症状和面临较差预后的患者的主要关注点。心脏病专家对 TR 的兴趣重新燃起，因为之前认为它只是左侧心脏疾病的旁观者的观念已经发生了变化。因此，更多针对 TR 的经导管技术正在出现。尽管这些经导管三尖瓣瓣膜干预（TTVI）对死亡率的明显影响尚未得到证实，但患者症状和生活质量的改善是巨大的，这导致这些程序在临床实践中的使用增加。在这篇综述中，我们重点介绍多模态成像作为量化 TR 严重程度、评估右心室（RV）功能、了解潜在机制、选择适当干预措施以及确保彻底和准确的术前规划以最小化并发症的重要工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a27c/11605784/5f9856b9ca7e/ECHO-41-e70044-g005.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a27c/11605784/cf7a1a767242/ECHO-41-e70044-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a27c/11605784/0ae8feb0a739/ECHO-41-e70044-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a27c/11605784/eb29e30adaf1/ECHO-41-e70044-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a27c/11605784/15b9b77ecc55/ECHO-41-e70044-g010.jpg
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本文引用的文献

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J Am Coll Cardiol. 2025 Jan 28;85(3):235-246. doi: 10.1016/j.jacc.2024.10.086. Epub 2024 Oct 28.
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EVOQUE Tricuspid Valve Replacement System: State-of-the-Art Screening and Intraprocedural Guidance.EVOQUE 三尖瓣置换系统：最新的筛查和术中指导。
JACC Cardiovasc Interv. 2024 Sep 23;17(18):2093-2112. doi: 10.1016/j.jcin.2024.07.034.
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Percutaneous Edge-to-Edge Repair for Tricuspid Regurgitation: 3-Year Outcomes From the TRILUMINATE Study.
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JACC Cardiovasc Interv. 2024 Sep 23;17(18):2113-2122. doi: 10.1016/j.jcin.2024.05.036. Epub 2024 Sep 4.
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Predictors of residual tricuspid regurgitation after interventional therapy: an automated deep-learning CT analysis.介入治疗后三尖瓣反流残留的预测因素：自动化深度学习 CT 分析。
Sci Rep. 2024 Aug 27;14(1):19946. doi: 10.1038/s41598-024-70768-x.
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