Tricuspid Repair and Replacement in the Cath Lab - A New Era

Guest: Mackram Eleid, M.D. Host: Malcolm Bell, M.D. In this episode of “Interviews With the Experts,” Mayo Clinic consultant in interventional cardiology Dr. Mackram Eleid explored the evolving landscape of transcatheter therapies for tricuspid valve disease. Listeners will hear an overview of current indications, benefits, and risks associated with transcatheter tricuspid repair and replacement. The discussion highlighted key factors that influence the choice between repair and replacement, reviewed current evidence, and examined important knowledge gaps and emerging data that may shape future clinical practice. Topics Discussed: • What is the current threshold to recommend tricuspid intervention in a patient TR? • What are the strengths and weaknesses of transcatheter tricuspid repair versus replacement? • What evidence in the field is still needed? 0:00 Advances in Transcatheter Tricuspid Valve Treatment 1:35 Identifying Candidates for Tricuspid Valve Intervention 3:34 Hemodynamic Factors and Treatment Limitations 5:43 How Transcatheter Tricuspid Repair Works 7:01 Quality-of-Life Outcomes After Valve Repair 8:16 Choosing Tricuspid Valve Replacement 9:32 Success Rates and Potential Complications 10:45 Managing Pacemakers and Existing Leads 11:49 How Replacement Valves Are Securely Anchored 13:07 Durability, Future Trials and Research Needs 14:31 Imaging’s Essential Role in Tricuspid Procedures 16:02 Continuing Cardiovascular Education at Mayo Clinic