Tricuspid Transcatheter Edge-to-Edge Repair Ebook-Tricuspid TEER Downloadable PDF

Tricuspid TEER Downloadable PDF

Pdf Summary

This document serves as a comprehensive guide for conducting tricuspid transcatheter edge-to-edge repair (T-TEER) using the TriClip system to address tricuspid regurgitation (TR). It meticulously covers procedural and technical aspects, from preparation to dealing with complications. <br /><br /><strong>Preparation Techniques:</strong> The guide emphasizes meticulous access preparation, using sterile procedures and local anesthetics. Ultrasound imaging plays a crucial role in locating the common femoral vein (CFV), ensuring its patency and appropriate separation from the common femoral artery (CFA).<br /><br /><strong>Procedure Steps:</strong> The document details step-by-step access techniques, beginning with micropuncture needle insertion into the CFV, followed by introducing a larger bore access for the T-TEER procedure. Precise imaging and orientation strategies are highlighted, leveraging both 2D and 3D echocardiography for optimal device navigation and placement.<br /><br /><strong>Critical Aspects of T-TEER:</strong> Essential procedure phases, such as right atrial steering, clip positioning, and leaflet grasping, are meticulously outlined. Adjusting device positioning using imaging for optimal grasping and repair is stressed. Detailed strategies for imaging evaluation confirm the tricuspid valve's anatomy and plan the repair trajectory.<br /><br /><strong>Managing Complications:</strong> Potential post-access complications such as venous site bleeding, arterial puncture, and thromboembolic events are addressed. The guide offers techniques for minimizing risks, including securing hemostasis and visual monitoring.<br /><br /><strong>Practical Tools:</strong> Case examples and decision algorithms provide practical insights into navigating real-world scenarios and complex anatomies. The guide also includes suggestions for managing intra-procedural challenges, such as chordal entanglements and device-lead interactions, thereby mitigating common complications like single leaflet detachment (SLDA).<br /><br />Overall, this document functions as a detailed resource for practitioners, offering procedural guidance, advanced imaging support, and strategies for effectively managing potential challenges and complications associated with T-TEER.

Keywords

tricuspid regurgitation

TriClip system

T-TEER

tricuspid

procedural guide

ultrasound imaging

echocardiography

complication management

leaflet grasping

hemostasis

device navigation

T-TEER

tricuspid