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Roles of Cardiac Computed Tomography in Guiding Transcatheter Tricuspid Valve Interventions

  • Cardiac PET, CT, and MRI (P Cremer, Section Editors)
  • Published:
Current Cardiology Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

The field of transcatheter tricuspid valve interventions (TTVI) is rapidly evolving to meet a well-defined but unmet clinical need. Severe tricuspid regurgitation is common and is associated with significant morbidity and mortality. Surgical options are limited and of high risk. The success of TTVI depends on careful procedural planning, and cardiac computed tomography (CCT) plays an emerging key role.

Recent Findings

TTVI technologies have various targets, including the leaflets, annulus, and venae cavae, along with valve replacement. Based on the planned procedure, CCT allows for device sizing, careful assessment of the access route, and comprehensive analysis of relevant adjacent anatomic structures to enhance procedural safety. It can also evaluate right-sided heart function, and its data can be for fusion imaging and 3D printing.

Summary

Procedural planning is key to TTVI’s success and is highly dependent on high-quality CCT data. This review details the comprehensive roles of CCT, specifics of the dedicated TTVI protocol, and its limitations.

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Abbreviations

TV:

Tricuspid valve

TR:

Tricuspid regurgitation

TTVI:

Transcutaneous tricuspid valve intervention

TVA:

Tricuspid valve annulus

CCT:

Cardiac computed tomography

RV:

Right ventricle

VC:

Venae cavae

SVC:

Superior vena cava

IVC:

Inferior vena cava

RCA:

Right coronary artery

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Authors and Affiliations

  1. Department of Cardiovascular Medicine, Heart, Vascular, and Thoracic Institute, Cleveland Clinic, Cleveland, OH, USA

    Habib Layoun, Tom Kai Ming Wang, Rishi Puri, Samir R. Kapadia & Serge C. Harb

  2. Department of Diagnostic Radiology, Imaging Institute, Cleveland Clinic, Cleveland, OH, USA

    Paul Schoenhagen

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Correspondence to Serge C. Harb.

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Dr. Puri reports personal fees from Medtronic, Bioventrix, Centerline Biomedical, and Philips and non-financial support from Boston Scientific and Products & Features, outside the submitted work. The other authors declare that they have no conflict of interest.

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Layoun, H., Schoenhagen, P., Wang, T.K.M. et al. Roles of Cardiac Computed Tomography in Guiding Transcatheter Tricuspid Valve Interventions. Curr Cardiol Rep 23, 114 (2021). https://doi.org/10.1007/s11886-021-01547-7

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