Transcatheter tricuspid valve repair/replacement

Given the high prevalence of significant functional tricuspid regurgitation (TR) in a number of disease states, as well as the impact of TR on mortality, interest has grown in refining the diagnosis and treatment, with hopes of improving outcomes. Surgical intervention has been associated with high mortality and limited improvement in mortality resulting in a need for less invasive alternatives. The current chapter reviews the new percutaneous options for treatment of TR by looking at the pertinent surgical literature, reviewing the relevant anatomic, discussing the strengths and pitfalls of imaging this complex disease process and finally reviewing important device design that may influence device choice.