Tricuspid TEER — Advanced Procedural Strategies-Leaflet Grasping: Techniques, Pitfalls and How to Avoid SLDA, Dr. Matthew J. Price

Leaflet Grasping: Techniques, Pitfalls and How to Avoid SLDA, Dr. Matthew J. Price

Video Transcription

Video Summary

This presentation covers essential techniques for optimizing leaflet grasping in tricuspid valve repair using the TriClip system to avoid single leaflet device attachment (SLDA). Key points include ensuring clip trajectory is perpendicular to the leaflet coaptation plane using X-plane RV inflow-outflow views, mastering the new SL-knob for septal huggers, and orienting the clip correctly orthogonal to the leaflets in transgastric views. The speaker emphasizes the importance of simultaneous grasping, verifying leaflet insertion in multiple views, and employing controlled gripper actuation (CGA) for leaflet optimization. Confirming secure leaflet capture via reduced leaflet motion, tissue draping, and wide tissue bridge is critical for procedural success.

Keywords

TriClip system

tricuspid valve repair

leaflet grasping optimization

single leaflet device attachment (SLDA)

controlled gripper actuation (CGA)