Evidence map›Paper›PMID 40155127›Full record

ArticleJACC. Case reports2025

The "Spider and the Fly" Technique for Transcatheter Tricuspid Valve Replacement in Failed Edge-to-Edge Repair.

Marco Gennari, Cristina Ferrari, Fabio Fazzari, Federico De Marco

Abstract readCase Reports
In one paragraph

Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Transcatheter Tricuspid Valve Replacement for Residual Tricuspid Regurgitation After TEER.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2026
    Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Marco GennariDepartment of Invasive Cardiology, Structural and Valvular Interventional Cardiology Unit, IRCCS Centro Cardiologico Monzino, Milan, Italy. Electronic address: marcogennari.md@gmail.com.
Cristina FerrariDepartment of Invasive Cardiology, Structural and Valvular Interventional Cardiology Unit, IRCCS Centro Cardiologico Monzino, Milan, Italy.
Fabio FazzariDepartment of Imaging, Echocardiography, IRCCS Centro Cardiologico Monzino, Milan, Italy.
Federico De MarcoHead of Structural and Valvular Interventional Cardiology Unit, IRCCS Centro Cardiologico Monzino, Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFailed tricuspid edge-to-edge repair with recurrent symptoms poses a challenge for optimal management. We report the first case successfully treated with transcatheter tricuspid valve replacement using the EVOQUE system after transcatheter electrosurgery laceration of the septal leaflet. CASE PRESENTATION: A 75-year-old woman was referred for recurrent severe tricuspid regurgitation after failed edge-to-edge repair due to early septal leaflet laceration after positioning of 2 devices. The heart team approved a percutaneous approach with advanced transcatheter techniques. DISCUSSION: The electrosurgical laceration and stabilization of clip is a known tool to treat failed mitral repairs. This is the first report of a similar technique to treat recurrent tricuspid insufficiency after tricuspid edge-to-edge repair.

conclusionsAfter failed tricuspid edge-to-edge repair, transcatheter electrosurgery can split the leaflet from the clip and allow effective implantation of a dedicated tricuspid valve replacement device.

Indexed as

edge-to-edge repairfailing cliprecurrent regurgitationtricuspid insufficiencyTTVR

Identifiers

PMID40155127
PMCPMC12014311

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.