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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7878227PMC
http://dx.doi.org/10.1007/s10554-020-01965-8DOI Listing

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Technique and Preliminary Results of Sole-echocardiography-guided Tricuspid Transcatheter Edge-to-edge Repair without the Use of Fluoroscopy.

Rev Cardiovasc Med

November 2024

Department of Structural Heart Disease, National Center for Cardiovascular Disease, China & Fuwai Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, 100037 Beijing, China.

Article Synopsis
  • - The study investigates the feasibility of a sole-echocardiography-guided method for tricuspid transcatheter edge-to-edge repair (T-TEER) as a safer alternative to traditional methods that involve radiation exposure for patients and staff.
  • - Conducted on 43 elderly patients with severe tricuspid regurgitation, the study found successful device implantation without severe complications, with significant improvement in heart function and reduced symptoms after 6 months.
  • - The results suggest that echocardiography-guided T-TEER is a viable option with low complication rates, but further large-scale studies are necessary to confirm its safety and effectiveness.
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[This corrects the article DOI: 10.1016/j.jscai.

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Background: Cardiac implantable electronic devices (CIEDs) with endocardial leads crossing the tricuspid valve can lead to or worsen tricuspid regurgitation (TR), causing substantial morbidity and mortality. Despite a recent randomized controlled study revealing a low short-term incidence of device-related TR (DRT) post-CIED implantation, uncertainties persist regarding the efficacy of intra-procedural 2-dimensional transthoracic echocardiography (2DTTE) in preventing long-term TR.

Objectives: To conduct a long-term follow-up study on patients with CIED implants based on a previous study conducted at our hospital.

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Midterm follow-up results of implantation of a fully biodegradable ventricular septal defect occluder.

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