Interventions for valvular disease and heart failure

Oesophageal and gastric injuries caused by transoesophageal probe manipulation in patients undergoing transcatheter edge-to-edge repair for tricuspid regurgitation

EuroIntervention 2023;19:103-104. DOI: 10.4244/EIJ-D-22-01070

Tanja Kuecken
Tanja Kuecken1,2, MD; Marwin Bannehr1,2, MD; Eleni Lalou1,2, MD; Johannes Lenz2,3, MD; Michael Zänker2,3, MD; Christoph Edlinger1,2, MD; Anja Haase-Fielitz1,2,4, PharmD; Michael Neuss1,2, MD; Christian Butter1,2, MD
1. Department of Cardiology, University Hospital Heart Centre Brandenburg, Brandenburg Medical School (MHB) Theodor Fontane, Neuruppin, Germany; 2. Faculty of Health Sciences Brandenburg, Neuruppin, Germany; 3. Department for Gastroenterology, University Hospital Heart Centre Brandenburg, Brandenburg Medical School (MHB) Theodor Fontane, Neuruppin, Germany; 4. Institute of Social Medicine and Health System Research, Otto von Guericke University Magdeburg, Magdeburg, Germany
In recent years, treatment with transcatheter edge-to-edge repair (TEER) for tricuspid regurgitation has increased rapidly123. For optimal guidance, the transoesophageal echocardiographic probe has to be moved between transgastric and various oesophageal positions4. Patients undergoing this procedure appear to be at higher risk for gastric bleeding, possibly because of increased vulnerability of the gastrointestinal mucosa. The probe manipulation during tricuspid TEER may further increase the risk for bleeding. The purpose of this study was to determine the prevalence and risk factors for injury caused by transoesophageal echocardiography probe manipulation during TEER for tricuspid regurgitation.

In this single-centre, retrospective, observational cohort ...

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