Tricuspid TEER — Advanced Procedural Strategies-Potential Complications of T-TEER and Management, Dr. Paul D. Mahoney

Potential Complications of T-TEER and Management, Dr. Paul D. Mahoney

Video Transcription

Video Summary

Dr. Paul Mahoney discusses potential complications of tricuspid transcatheter edge-to-edge repair (T-TEER), focusing on chordal entrapment and single leaflet detachment (SLDA). Key strategies to avoid these include precise alignment, imaging with 3D and intracardiac echo (ICE), and cautious device deployment. SLDA, a major complication, requires careful assessment of leaflets and tailored retreatment strategies rather than immediate re-clipping. Low mortality and stroke rates are noted, but bleeding and device issues remain challenges. Patient selection and imaging are crucial for reducing risks. Alternatives like transcatheter valve replacement may be needed in complex cases. Prevention and thoughtful management improve outcomes.

Keywords

tricuspid transcatheter edge-to-edge repair

chordal entrapment

single leaflet detachment

3D imaging and intracardiac echo

transcatheter valve replacement