Clip Liberation to Facilitate Transcatheter Tricuspid Valve Replacement (CLEFT).

ABSTRACT:

Background

Transcatheter tricuspid valve edge-to-edge repair (T-TEER) can be effective for patients with tricuspid regurgitation (TR), but TR may recur, requiring transcatheter tricuspid valve replacement (TTVR). Although TTVR has been described in patients with single leaflet device attachment of edge-to-edge devices, implantation in presence of well-attached devices has not been described.

Case summary

We present a patient with recurrent TR after T-TEER. Transesophageal echocardiography revealed that 3 previously placed MitraClip XTW devices were well attached to the tricuspid leaflets, with recurrent severe TR. After laceration of 1 leaflet attached to the central XTW clip with transcatheter electrosurgery, we implanted an EVOQUE TTVR with trivial paravalvular leakage.

SUBMITTER: Rajagopal DR 

PROVIDER: S-EPMC12441388 | biostudies-literature | 2025 Jul

REPOSITORIES: biostudies-literature