ArticleJACC. Case reports2025
First Experience of Tricuspid Transcatheter-Edge-to-Edge Repair Using 3D Mini-Transesophageal Echocardiography and Intracardiac Echocardiography.
Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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4 authors.
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Abstract
objectivesTo describe the first experience of using a 9-mm miniature transesophageal echocardiography (TEE) probe combined with intracardiac echocardiography (ICE) to safely guide tricuspid transcatheter edge-to-edge repair (TEER) in a patient with large esophageal varices and advanced liver disease. KEY STEPS: Multidisciplinary evaluation identified severe tricuspid regurgitation in a patient with cirrhosis and suspected hepatocellular carcinoma. Hemodynamic and anatomic assessment was conducted with transthoracic echocardiography, TEE, coronary computed tomography angiogram, and right heart catheterization. A 9-mm miniature TEE probe was selected to minimize esophageal trauma, and 2 TriClip XTW devices were successfully implanted with combined TEE and intracardiac echocardiography guidance. Postprocedural optimization enabled safe progression to Y-90 radioembolization. POTENTIAL PITFALLS: Miniature TEE probes have limited resolution, reduced three-dimensional imaging, and shorter shaft length, requiring operator experience and adjunct imaging to ensure procedural success. TAKE-HOME MESSAGE: Miniature TEE enables safe imaging in high-risk esophageal anatomy. Individualized imaging strategies can expand access to structural interventions in complex patients.
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