Caval Valve Implantation (CAVI): An Emerging Therapy for Treating Severe Tricuspid Regurgitation
Por:
Altisent, OAJ, Benetis, R, Rumbinaite, E, Mizarien, V, Codina, P, Gual-Capllonch, F, Spitaleri, G, Fernandez-Nofrerias, E, Bayes-Genis, A and Puri, R
Publicada:
1 oct 2021
Ahead of Print:
7 oct 2021
Resumen:
Severe tricuspid regurgitation remains a challenging heart-valve disease to effectively treat with high morbidity and mortality at mid-term. Currently guideline-directed medical treatment is limited to escalating dose of diuretics, and the rationale and timing of open-heart surgery remains controversial. Emerging percutaneous therapies for severe tricuspid regurgitation continue to show promising results in early feasibility studies. However, randomized trial data is lacking. Additionally, many patients are deemed unsuitable for these emerging therapies due to anatomical or imaging constraints. Given the technical simplicity of the bicaval valve implantation (CAVI) technique compared to other transcatheter devices, CAVI is postulated as a suitable alternative for a wide variety of patients affected with severe+ tricuspid regurgitation. In this review we illustrate the current evidence and ongoing uncertainties of CAVI, focusing on the novel CAVI-specific devices.
Filiaciones:
:
Germans Trias Univ Hosp, Dept Cardiol, Badalona 08916, Spain
Benetis, R:
Lithuanian Univ Hlth Sci, Dept Cardiothorac & Vasc Surg, LT-44307 Kaunas, Lithuania
Rumbinaite, E:
Lithuanian Univ Hlth Sci, Dept Cardiol, LT-44307 Kaunas, Lithuania
Mizarien, V:
Lithuanian Univ Hlth Sci, Dept Cardiol, LT-44307 Kaunas, Lithuania
:
Germans Trias Univ Hosp, Dept Cardiol, Badalona 08916, Spain
Gual-Capllonch, F:
Germans Trias Univ Hosp, Dept Cardiol, Badalona 08916, Spain
Spitaleri, G:
Germans Trias Univ Hosp, Dept Cardiol, Badalona 08916, Spain
:
Germans Trias Univ Hosp, Dept Cardiol, Badalona 08916, Spain
:
Germans Trias Univ Hosp, Dept Cardiol, Badalona 08916, Spain
Puri, R:
Cleveland Clin, Dept Cardiol, Cleveland, OH 44195 USA
Green Published, gold
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