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Transcatheter interventions for severe tricuspid regurgitation:a literature review

Journal of Geriatric Cardiology 2022年第7期19卷 539-550页

作者： Pramod Kumar Ponna Stephen Patin naga sai shravan turaga Dominika M Zoltowska Vishal Devarkonda Ramya Krishna Botta Yashwant Agrawal Gaurav Dhar Internal Medicine Louisiana State University Health Sciences CenterShreveportLAUSA Division of Cardiology University of Arkansas for Medical SciencesLittle RockARUSA Division of Cardiology University of FloridaJacksonvilleFLUSA Division of Infectious Diseases Vanderbilt University Medical CenterNashvilleTNUSA Division of Cardiology Chandler Region Medical CenterChandlerArizonaUSA

The prevalence of tricuspid regurgitation(TR)increases with age,affecting 65%-85%of *** TR is caused by a congenital or acquired abnormality of the tricuspid valve apparatus(leaflets,chordae,papillary muscles,or annulus).Secondary TR is due to insufficient coaptation from dilation of tricuspid valve annulus due to the right ventricle(RV)or right at-rium(RA)remodeling and increased RV *** TR is without increased RV pressures and is associated with atrial *** TR is a benign *** to severe tricuspid regurgitation has independently been associated with in-creased *** of these patients are treated medically due to poor outcomes with surgical repair of isolated *** in-hospital mortality rate is 8.8%,and the median length of stay in hospital is 11 days resulting in higher healthcare *** if the patients undergo surgical repair or replacement,available data do not show improvement in *** a more detailed un-derstanding of the complex anatomy and physiology of the tricuspid valve and significant complications from untreated tricusp-id valve disease,the approach to the management of TR has shifted from a conservative approach to a process of prevention and *** the past decade,transcatheter tricuspid valve interventions and tricuspid annuloplasty rings have been de-veloped,contributing to decreased mortality from surgical *** tricuspid valve intervention techniques have im-proved survival,quality of life,and reduced heart failure *** review summarizes normal anatomy,types of TR,etiology and different mechanisms of TR,echocardiographic assessment of the severe TR,and highlights various percu-taneous transcatheter techniques for tricuspid valve repair.

关键词： anatomy tricuspid regurgitation

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