Feasibility and Efficacy of Transcatheter Tricuspid Valve Repair in Patients with Cardiac Implanted Electrical Devices and Trans-Tricuspid Leads
Background: Transcatheter tricuspid valve repair using the edge-to-edge-technique (TEER) has emerged as an alternative therapy in patients with severe tricuspid regurgitation (TR) and high surgical risk. This study aimed to evaluate the feasibility and efficacy of tricuspid valve TEER in patients wi...
Ausführliche Beschreibung
Autor*in: |
Mhd Nawar Alachkar [verfasserIn] Steffen Schnupp [verfasserIn] Astrid Eichelsdoerfer [verfasserIn] Andrea Milzi [verfasserIn] Hesham Mady [verfasserIn] Basem Salloum [verfasserIn] Osama Bisht [verfasserIn] Mohammed Cheikh-Ibrahim [verfasserIn] Mathias Forkmann [verfasserIn] Lukas Krygier [verfasserIn] Christian Mahnkopf [verfasserIn] |
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E-Artikel |
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Sprache: |
Englisch |
Erschienen: |
2023 |
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Übergeordnetes Werk: |
In: Journal of Clinical Medicine - MDPI AG, 2013, 12(2023), 15, p 4930 |
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Übergeordnetes Werk: |
volume:12 ; year:2023 ; number:15, p 4930 |
Links: |
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DOI / URN: |
10.3390/jcm12154930 |
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Katalog-ID: |
DOAJ093698658 |
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520 | |a Background: Transcatheter tricuspid valve repair using the edge-to-edge-technique (TEER) has emerged as an alternative therapy in patients with severe tricuspid regurgitation (TR) and high surgical risk. This study aimed to evaluate the feasibility and efficacy of tricuspid valve TEER in patients with cardiac implanted electric devices (CIEDs). Methods: All patients who underwent tricuspid valve TEER at our center were retrospectively included. Patients were classified according to the presence of CIEDs. Procedure success was defined as implantation of at least one clip and the reduction of TR of at least one grade. Procedure success and intrahospital outcome were compared between the two groups. Results: One-hundred and six consecutive patients underwent tricuspid TEER (age 80.1 ± 6.4 years, male = 42; 39.6%). Among them, 25 patients (23.6%, age 80.6 ± 7.3 years, male = 14; 56%) had CIEDs. Patients with CIEDs had a significantly lower left ventricular ejection fraction (LV-EF) compared to those without CIEDs (47.2 ± 15% vs. 56.2 ± 8.2%, <i<p</i< = 0.004, respectively). Moreover, arterial hypertension was more common in patients with CIEDs (96% vs. 79%, <i<p</i< = 0.048). The success of the procedure did not differ between the non-CIED vs. CIED group (93.8% vs. 92%, <i<p</i< = 0.748). Furthermore, the number and position of implanted clips, the duration of the procedure, the post-procedural pressure gradient across the tricuspid valve, and post-procedural TR severity were comparable between both groups. Conclusion: Tricuspid valve TEER is feasible and efficient in patients with CIEDs. The success of the procedure, as well as the intrahospital outcome were comparable between patients with and without CIEDs. | ||
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10.3390/jcm12154930 doi (DE-627)DOAJ093698658 (DE-599)DOAJ27f8d3cea4b3489da32a3c06120dc42d DE-627 ger DE-627 rakwb eng Mhd Nawar Alachkar verfasserin aut Feasibility and Efficacy of Transcatheter Tricuspid Valve Repair in Patients with Cardiac Implanted Electrical Devices and Trans-Tricuspid Leads 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Transcatheter tricuspid valve repair using the edge-to-edge-technique (TEER) has emerged as an alternative therapy in patients with severe tricuspid regurgitation (TR) and high surgical risk. This study aimed to evaluate the feasibility and efficacy of tricuspid valve TEER in patients with cardiac implanted electric devices (CIEDs). Methods: All patients who underwent tricuspid valve TEER at our center were retrospectively included. Patients were classified according to the presence of CIEDs. Procedure success was defined as implantation of at least one clip and the reduction of TR of at least one grade. Procedure success and intrahospital outcome were compared between the two groups. Results: One-hundred and six consecutive patients underwent tricuspid TEER (age 80.1 ± 6.4 years, male = 42; 39.6%). Among them, 25 patients (23.6%, age 80.6 ± 7.3 years, male = 14; 56%) had CIEDs. Patients with CIEDs had a significantly lower left ventricular ejection fraction (LV-EF) compared to those without CIEDs (47.2 ± 15% vs. 56.2 ± 8.2%, <i<p</i< = 0.004, respectively). Moreover, arterial hypertension was more common in patients with CIEDs (96% vs. 79%, <i<p</i< = 0.048). The success of the procedure did not differ between the non-CIED vs. CIED group (93.8% vs. 92%, <i<p</i< = 0.748). Furthermore, the number and position of implanted clips, the duration of the procedure, the post-procedural pressure gradient across the tricuspid valve, and post-procedural TR severity were comparable between both groups. Conclusion: Tricuspid valve TEER is feasible and efficient in patients with CIEDs. The success of the procedure, as well as the intrahospital outcome were comparable between patients with and without CIEDs. tricuspid regurgitation transcatheter tricuspid valve repair cardiac implanted electrical devices Medicine R Steffen Schnupp verfasserin aut Astrid Eichelsdoerfer verfasserin aut Andrea Milzi verfasserin aut Hesham Mady verfasserin aut Basem Salloum verfasserin aut Osama Bisht verfasserin aut Mohammed Cheikh-Ibrahim verfasserin aut Mathias Forkmann verfasserin aut Lukas Krygier verfasserin aut Christian Mahnkopf verfasserin aut In Journal of Clinical Medicine MDPI AG, 2013 12(2023), 15, p 4930 (DE-627)718632478 (DE-600)2662592-1 20770383 nnns volume:12 year:2023 number:15, p 4930 https://doi.org/10.3390/jcm12154930 kostenfrei https://doaj.org/article/27f8d3cea4b3489da32a3c06120dc42d kostenfrei https://www.mdpi.com/2077-0383/12/15/4930 kostenfrei https://doaj.org/toc/2077-0383 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 12 2023 15, p 4930 |
spelling |
10.3390/jcm12154930 doi (DE-627)DOAJ093698658 (DE-599)DOAJ27f8d3cea4b3489da32a3c06120dc42d DE-627 ger DE-627 rakwb eng Mhd Nawar Alachkar verfasserin aut Feasibility and Efficacy of Transcatheter Tricuspid Valve Repair in Patients with Cardiac Implanted Electrical Devices and Trans-Tricuspid Leads 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Transcatheter tricuspid valve repair using the edge-to-edge-technique (TEER) has emerged as an alternative therapy in patients with severe tricuspid regurgitation (TR) and high surgical risk. This study aimed to evaluate the feasibility and efficacy of tricuspid valve TEER in patients with cardiac implanted electric devices (CIEDs). Methods: All patients who underwent tricuspid valve TEER at our center were retrospectively included. Patients were classified according to the presence of CIEDs. Procedure success was defined as implantation of at least one clip and the reduction of TR of at least one grade. Procedure success and intrahospital outcome were compared between the two groups. Results: One-hundred and six consecutive patients underwent tricuspid TEER (age 80.1 ± 6.4 years, male = 42; 39.6%). Among them, 25 patients (23.6%, age 80.6 ± 7.3 years, male = 14; 56%) had CIEDs. Patients with CIEDs had a significantly lower left ventricular ejection fraction (LV-EF) compared to those without CIEDs (47.2 ± 15% vs. 56.2 ± 8.2%, <i<p</i< = 0.004, respectively). Moreover, arterial hypertension was more common in patients with CIEDs (96% vs. 79%, <i<p</i< = 0.048). The success of the procedure did not differ between the non-CIED vs. CIED group (93.8% vs. 92%, <i<p</i< = 0.748). Furthermore, the number and position of implanted clips, the duration of the procedure, the post-procedural pressure gradient across the tricuspid valve, and post-procedural TR severity were comparable between both groups. Conclusion: Tricuspid valve TEER is feasible and efficient in patients with CIEDs. The success of the procedure, as well as the intrahospital outcome were comparable between patients with and without CIEDs. tricuspid regurgitation transcatheter tricuspid valve repair cardiac implanted electrical devices Medicine R Steffen Schnupp verfasserin aut Astrid Eichelsdoerfer verfasserin aut Andrea Milzi verfasserin aut Hesham Mady verfasserin aut Basem Salloum verfasserin aut Osama Bisht verfasserin aut Mohammed Cheikh-Ibrahim verfasserin aut Mathias Forkmann verfasserin aut Lukas Krygier verfasserin aut Christian Mahnkopf verfasserin aut In Journal of Clinical Medicine MDPI AG, 2013 12(2023), 15, p 4930 (DE-627)718632478 (DE-600)2662592-1 20770383 nnns volume:12 year:2023 number:15, p 4930 https://doi.org/10.3390/jcm12154930 kostenfrei https://doaj.org/article/27f8d3cea4b3489da32a3c06120dc42d kostenfrei https://www.mdpi.com/2077-0383/12/15/4930 kostenfrei https://doaj.org/toc/2077-0383 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 12 2023 15, p 4930 |
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10.3390/jcm12154930 doi (DE-627)DOAJ093698658 (DE-599)DOAJ27f8d3cea4b3489da32a3c06120dc42d DE-627 ger DE-627 rakwb eng Mhd Nawar Alachkar verfasserin aut Feasibility and Efficacy of Transcatheter Tricuspid Valve Repair in Patients with Cardiac Implanted Electrical Devices and Trans-Tricuspid Leads 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Transcatheter tricuspid valve repair using the edge-to-edge-technique (TEER) has emerged as an alternative therapy in patients with severe tricuspid regurgitation (TR) and high surgical risk. This study aimed to evaluate the feasibility and efficacy of tricuspid valve TEER in patients with cardiac implanted electric devices (CIEDs). Methods: All patients who underwent tricuspid valve TEER at our center were retrospectively included. Patients were classified according to the presence of CIEDs. Procedure success was defined as implantation of at least one clip and the reduction of TR of at least one grade. Procedure success and intrahospital outcome were compared between the two groups. Results: One-hundred and six consecutive patients underwent tricuspid TEER (age 80.1 ± 6.4 years, male = 42; 39.6%). Among them, 25 patients (23.6%, age 80.6 ± 7.3 years, male = 14; 56%) had CIEDs. Patients with CIEDs had a significantly lower left ventricular ejection fraction (LV-EF) compared to those without CIEDs (47.2 ± 15% vs. 56.2 ± 8.2%, <i<p</i< = 0.004, respectively). Moreover, arterial hypertension was more common in patients with CIEDs (96% vs. 79%, <i<p</i< = 0.048). The success of the procedure did not differ between the non-CIED vs. CIED group (93.8% vs. 92%, <i<p</i< = 0.748). Furthermore, the number and position of implanted clips, the duration of the procedure, the post-procedural pressure gradient across the tricuspid valve, and post-procedural TR severity were comparable between both groups. Conclusion: Tricuspid valve TEER is feasible and efficient in patients with CIEDs. The success of the procedure, as well as the intrahospital outcome were comparable between patients with and without CIEDs. tricuspid regurgitation transcatheter tricuspid valve repair cardiac implanted electrical devices Medicine R Steffen Schnupp verfasserin aut Astrid Eichelsdoerfer verfasserin aut Andrea Milzi verfasserin aut Hesham Mady verfasserin aut Basem Salloum verfasserin aut Osama Bisht verfasserin aut Mohammed Cheikh-Ibrahim verfasserin aut Mathias Forkmann verfasserin aut Lukas Krygier verfasserin aut Christian Mahnkopf verfasserin aut In Journal of Clinical Medicine MDPI AG, 2013 12(2023), 15, p 4930 (DE-627)718632478 (DE-600)2662592-1 20770383 nnns volume:12 year:2023 number:15, p 4930 https://doi.org/10.3390/jcm12154930 kostenfrei https://doaj.org/article/27f8d3cea4b3489da32a3c06120dc42d kostenfrei https://www.mdpi.com/2077-0383/12/15/4930 kostenfrei https://doaj.org/toc/2077-0383 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 12 2023 15, p 4930 |
allfieldsGer |
10.3390/jcm12154930 doi (DE-627)DOAJ093698658 (DE-599)DOAJ27f8d3cea4b3489da32a3c06120dc42d DE-627 ger DE-627 rakwb eng Mhd Nawar Alachkar verfasserin aut Feasibility and Efficacy of Transcatheter Tricuspid Valve Repair in Patients with Cardiac Implanted Electrical Devices and Trans-Tricuspid Leads 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Transcatheter tricuspid valve repair using the edge-to-edge-technique (TEER) has emerged as an alternative therapy in patients with severe tricuspid regurgitation (TR) and high surgical risk. This study aimed to evaluate the feasibility and efficacy of tricuspid valve TEER in patients with cardiac implanted electric devices (CIEDs). Methods: All patients who underwent tricuspid valve TEER at our center were retrospectively included. Patients were classified according to the presence of CIEDs. Procedure success was defined as implantation of at least one clip and the reduction of TR of at least one grade. Procedure success and intrahospital outcome were compared between the two groups. Results: One-hundred and six consecutive patients underwent tricuspid TEER (age 80.1 ± 6.4 years, male = 42; 39.6%). Among them, 25 patients (23.6%, age 80.6 ± 7.3 years, male = 14; 56%) had CIEDs. Patients with CIEDs had a significantly lower left ventricular ejection fraction (LV-EF) compared to those without CIEDs (47.2 ± 15% vs. 56.2 ± 8.2%, <i<p</i< = 0.004, respectively). Moreover, arterial hypertension was more common in patients with CIEDs (96% vs. 79%, <i<p</i< = 0.048). The success of the procedure did not differ between the non-CIED vs. CIED group (93.8% vs. 92%, <i<p</i< = 0.748). Furthermore, the number and position of implanted clips, the duration of the procedure, the post-procedural pressure gradient across the tricuspid valve, and post-procedural TR severity were comparable between both groups. Conclusion: Tricuspid valve TEER is feasible and efficient in patients with CIEDs. The success of the procedure, as well as the intrahospital outcome were comparable between patients with and without CIEDs. tricuspid regurgitation transcatheter tricuspid valve repair cardiac implanted electrical devices Medicine R Steffen Schnupp verfasserin aut Astrid Eichelsdoerfer verfasserin aut Andrea Milzi verfasserin aut Hesham Mady verfasserin aut Basem Salloum verfasserin aut Osama Bisht verfasserin aut Mohammed Cheikh-Ibrahim verfasserin aut Mathias Forkmann verfasserin aut Lukas Krygier verfasserin aut Christian Mahnkopf verfasserin aut In Journal of Clinical Medicine MDPI AG, 2013 12(2023), 15, p 4930 (DE-627)718632478 (DE-600)2662592-1 20770383 nnns volume:12 year:2023 number:15, p 4930 https://doi.org/10.3390/jcm12154930 kostenfrei https://doaj.org/article/27f8d3cea4b3489da32a3c06120dc42d kostenfrei https://www.mdpi.com/2077-0383/12/15/4930 kostenfrei https://doaj.org/toc/2077-0383 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 12 2023 15, p 4930 |
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10.3390/jcm12154930 doi (DE-627)DOAJ093698658 (DE-599)DOAJ27f8d3cea4b3489da32a3c06120dc42d DE-627 ger DE-627 rakwb eng Mhd Nawar Alachkar verfasserin aut Feasibility and Efficacy of Transcatheter Tricuspid Valve Repair in Patients with Cardiac Implanted Electrical Devices and Trans-Tricuspid Leads 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Transcatheter tricuspid valve repair using the edge-to-edge-technique (TEER) has emerged as an alternative therapy in patients with severe tricuspid regurgitation (TR) and high surgical risk. This study aimed to evaluate the feasibility and efficacy of tricuspid valve TEER in patients with cardiac implanted electric devices (CIEDs). Methods: All patients who underwent tricuspid valve TEER at our center were retrospectively included. Patients were classified according to the presence of CIEDs. Procedure success was defined as implantation of at least one clip and the reduction of TR of at least one grade. Procedure success and intrahospital outcome were compared between the two groups. Results: One-hundred and six consecutive patients underwent tricuspid TEER (age 80.1 ± 6.4 years, male = 42; 39.6%). Among them, 25 patients (23.6%, age 80.6 ± 7.3 years, male = 14; 56%) had CIEDs. Patients with CIEDs had a significantly lower left ventricular ejection fraction (LV-EF) compared to those without CIEDs (47.2 ± 15% vs. 56.2 ± 8.2%, <i<p</i< = 0.004, respectively). Moreover, arterial hypertension was more common in patients with CIEDs (96% vs. 79%, <i<p</i< = 0.048). The success of the procedure did not differ between the non-CIED vs. CIED group (93.8% vs. 92%, <i<p</i< = 0.748). Furthermore, the number and position of implanted clips, the duration of the procedure, the post-procedural pressure gradient across the tricuspid valve, and post-procedural TR severity were comparable between both groups. Conclusion: Tricuspid valve TEER is feasible and efficient in patients with CIEDs. The success of the procedure, as well as the intrahospital outcome were comparable between patients with and without CIEDs. tricuspid regurgitation transcatheter tricuspid valve repair cardiac implanted electrical devices Medicine R Steffen Schnupp verfasserin aut Astrid Eichelsdoerfer verfasserin aut Andrea Milzi verfasserin aut Hesham Mady verfasserin aut Basem Salloum verfasserin aut Osama Bisht verfasserin aut Mohammed Cheikh-Ibrahim verfasserin aut Mathias Forkmann verfasserin aut Lukas Krygier verfasserin aut Christian Mahnkopf verfasserin aut In Journal of Clinical Medicine MDPI AG, 2013 12(2023), 15, p 4930 (DE-627)718632478 (DE-600)2662592-1 20770383 nnns volume:12 year:2023 number:15, p 4930 https://doi.org/10.3390/jcm12154930 kostenfrei https://doaj.org/article/27f8d3cea4b3489da32a3c06120dc42d kostenfrei https://www.mdpi.com/2077-0383/12/15/4930 kostenfrei https://doaj.org/toc/2077-0383 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 12 2023 15, p 4930 |
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Feasibility and Efficacy of Transcatheter Tricuspid Valve Repair in Patients with Cardiac Implanted Electrical Devices and Trans-Tricuspid Leads |
abstract |
Background: Transcatheter tricuspid valve repair using the edge-to-edge-technique (TEER) has emerged as an alternative therapy in patients with severe tricuspid regurgitation (TR) and high surgical risk. This study aimed to evaluate the feasibility and efficacy of tricuspid valve TEER in patients with cardiac implanted electric devices (CIEDs). Methods: All patients who underwent tricuspid valve TEER at our center were retrospectively included. Patients were classified according to the presence of CIEDs. Procedure success was defined as implantation of at least one clip and the reduction of TR of at least one grade. Procedure success and intrahospital outcome were compared between the two groups. Results: One-hundred and six consecutive patients underwent tricuspid TEER (age 80.1 ± 6.4 years, male = 42; 39.6%). Among them, 25 patients (23.6%, age 80.6 ± 7.3 years, male = 14; 56%) had CIEDs. Patients with CIEDs had a significantly lower left ventricular ejection fraction (LV-EF) compared to those without CIEDs (47.2 ± 15% vs. 56.2 ± 8.2%, <i<p</i< = 0.004, respectively). Moreover, arterial hypertension was more common in patients with CIEDs (96% vs. 79%, <i<p</i< = 0.048). The success of the procedure did not differ between the non-CIED vs. CIED group (93.8% vs. 92%, <i<p</i< = 0.748). Furthermore, the number and position of implanted clips, the duration of the procedure, the post-procedural pressure gradient across the tricuspid valve, and post-procedural TR severity were comparable between both groups. Conclusion: Tricuspid valve TEER is feasible and efficient in patients with CIEDs. The success of the procedure, as well as the intrahospital outcome were comparable between patients with and without CIEDs. |
abstractGer |
Background: Transcatheter tricuspid valve repair using the edge-to-edge-technique (TEER) has emerged as an alternative therapy in patients with severe tricuspid regurgitation (TR) and high surgical risk. This study aimed to evaluate the feasibility and efficacy of tricuspid valve TEER in patients with cardiac implanted electric devices (CIEDs). Methods: All patients who underwent tricuspid valve TEER at our center were retrospectively included. Patients were classified according to the presence of CIEDs. Procedure success was defined as implantation of at least one clip and the reduction of TR of at least one grade. Procedure success and intrahospital outcome were compared between the two groups. Results: One-hundred and six consecutive patients underwent tricuspid TEER (age 80.1 ± 6.4 years, male = 42; 39.6%). Among them, 25 patients (23.6%, age 80.6 ± 7.3 years, male = 14; 56%) had CIEDs. Patients with CIEDs had a significantly lower left ventricular ejection fraction (LV-EF) compared to those without CIEDs (47.2 ± 15% vs. 56.2 ± 8.2%, <i<p</i< = 0.004, respectively). Moreover, arterial hypertension was more common in patients with CIEDs (96% vs. 79%, <i<p</i< = 0.048). The success of the procedure did not differ between the non-CIED vs. CIED group (93.8% vs. 92%, <i<p</i< = 0.748). Furthermore, the number and position of implanted clips, the duration of the procedure, the post-procedural pressure gradient across the tricuspid valve, and post-procedural TR severity were comparable between both groups. Conclusion: Tricuspid valve TEER is feasible and efficient in patients with CIEDs. The success of the procedure, as well as the intrahospital outcome were comparable between patients with and without CIEDs. |
abstract_unstemmed |
Background: Transcatheter tricuspid valve repair using the edge-to-edge-technique (TEER) has emerged as an alternative therapy in patients with severe tricuspid regurgitation (TR) and high surgical risk. This study aimed to evaluate the feasibility and efficacy of tricuspid valve TEER in patients with cardiac implanted electric devices (CIEDs). Methods: All patients who underwent tricuspid valve TEER at our center were retrospectively included. Patients were classified according to the presence of CIEDs. Procedure success was defined as implantation of at least one clip and the reduction of TR of at least one grade. Procedure success and intrahospital outcome were compared between the two groups. Results: One-hundred and six consecutive patients underwent tricuspid TEER (age 80.1 ± 6.4 years, male = 42; 39.6%). Among them, 25 patients (23.6%, age 80.6 ± 7.3 years, male = 14; 56%) had CIEDs. Patients with CIEDs had a significantly lower left ventricular ejection fraction (LV-EF) compared to those without CIEDs (47.2 ± 15% vs. 56.2 ± 8.2%, <i<p</i< = 0.004, respectively). Moreover, arterial hypertension was more common in patients with CIEDs (96% vs. 79%, <i<p</i< = 0.048). The success of the procedure did not differ between the non-CIED vs. CIED group (93.8% vs. 92%, <i<p</i< = 0.748). Furthermore, the number and position of implanted clips, the duration of the procedure, the post-procedural pressure gradient across the tricuspid valve, and post-procedural TR severity were comparable between both groups. Conclusion: Tricuspid valve TEER is feasible and efficient in patients with CIEDs. The success of the procedure, as well as the intrahospital outcome were comparable between patients with and without CIEDs. |
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15, p 4930 |
title_short |
Feasibility and Efficacy of Transcatheter Tricuspid Valve Repair in Patients with Cardiac Implanted Electrical Devices and Trans-Tricuspid Leads |
url |
https://doi.org/10.3390/jcm12154930 https://doaj.org/article/27f8d3cea4b3489da32a3c06120dc42d https://www.mdpi.com/2077-0383/12/15/4930 https://doaj.org/toc/2077-0383 |
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Steffen Schnupp Astrid Eichelsdoerfer Andrea Milzi Hesham Mady Basem Salloum Osama Bisht Mohammed Cheikh-Ibrahim Mathias Forkmann Lukas Krygier Christian Mahnkopf |
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Steffen Schnupp Astrid Eichelsdoerfer Andrea Milzi Hesham Mady Basem Salloum Osama Bisht Mohammed Cheikh-Ibrahim Mathias Forkmann Lukas Krygier Christian Mahnkopf |
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up_date |
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