Tricuspid TEER — Advanced Procedural Strategies-Case Resolution and Procedural Reflection, Dr. Tai H. Pham

Case Resolution and Procedural Reflection, Dr. Tai H. Pham

Video Transcription

Video Summary

The case involved a patient with severe tricuspid regurgitation (TR) and large coaptation gaps admitted for prehabilitation with IV diuretics. Over five days, over 10 liters of fluid were removed, significantly reducing gap size and TR severity by echocardiogram. She underwent successful transcatheter edge-to-edge repair (triclip) using multiple XTW clips, resulting in durable TR reduction to trace levels at 30-day follow-up with stable symptoms and renal function. The discussion emphasized the importance of prehabilitation guided by right heart catheterization, maintaining high-dose diuretics post-procedure, and careful patient preparation to optimize outcomes in complex TR cases.

Keywords

tricuspid regurgitation

prehabilitation

IV diuretics

transcatheter edge-to-edge repair

right heart catheterization