The Role of Intracardiac Echocardiography in Percutaneous Tricuspid Intervention: A New ICE Age

Interv Cardiol Clin. 2022 Jan;11(1):103-112. doi: 10.1016/j.iccl.2021.09.006.

Abstract

The prevalence of severe tricuspid regurgitation in older patients is high, and the clinical relevance is perceived more and more in recent years. Many of these patients are not suitable for surgery because of their age and comorbidities. Therefore, a variety of percutaneous interventions have been developed to address this unmet need. Procedural success strongly depends on adequate imaging during the intervention. Although transesophageal echocardiography is the standard of care, imaging may be limited due to anatomic factors and adverse acoustic shadowing. In this review, we discuss the current and future role of intracardiac echocardiography in tricuspid valve interventions.

Keywords: ICE; Intracardiac echocardiography; Intraprocedural guidance; Structural cardiac disorders; Transcatheter tricuspid valve repair; Tricuspid regurgitation; Tricuspid valve interventions.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Aged
  • Echocardiography, Transesophageal
  • Humans
  • Tricuspid Valve / diagnostic imaging
  • Tricuspid Valve / surgery
  • Tricuspid Valve Insufficiency* / diagnostic imaging
  • Tricuspid Valve Insufficiency* / surgery