The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)


Transfemoral tricuspid valve-in-valve implantation: snare it to make it simpler!

EuroIntervention 2016;12: published online ahead of print September 2015. DOI: 10.4244/EIJY15M09_13

1. UniversitätsSpital Zürich, Zürich, Switzerland; 2. St. Paul’s Hospital, Vancouver, BC, Canada; 3. Kantonsspital Aarau, Aarau, Switzerland

The tricuspid valve is more often addressed from a transjugular approach, due to a more favourable angle between the superior vena cava and the tricuspid valve plane.

Taking into consideration that the decision about the approach has to be made for each individual patient depending on the patient’s anatomy, the more conventional and intuitive transfemoral approach may be technically challenging in most cases, due to an unfavourable narrow angle between the inferior vena cava and the tricuspid valve, which may preclude positioning of the prosthesis, particularly when larger and rigid devices have to be deployed, such as ...

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