Evidence map›Paper›PMID 42582716›Full record

ArticleEuropean heart journal. Case reports2026

Tricuspid transcatheter edge-to-edge repair in local anaesthesia guided by three-dimensional intracardiac echocardiography: a case report.

Lukas Ley, Anna Sannino, Mario Kasner, Vasileios Exarchos, Ulf Landmesser, Markus Reinthaler, Fabian Barbieri

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in European heart journal. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Lukas LeyDeutsches Herzzentrum der Charité, Department of Cardiology, Angiology and Intensive Care Medicine, Campus Benjamin Franklin, Hindenburgdamm 30, Berlin 12203, Germany.ORCID https://orcid.org/0009-0000-1366-3004
Anna SanninoDeutsches Herzzentrum der Charité, Department of Cardiology, Angiology and Intensive Care Medicine, Campus Benjamin Franklin, Hindenburgdamm 30, Berlin 12203, Germany.
Mario KasnerDeutsches Herzzentrum der Charité, Department of Cardiology, Angiology and Intensive Care Medicine, Campus Benjamin Franklin, Hindenburgdamm 30, Berlin 12203, Germany.
Vasileios ExarchosDeutsches Herzzentrum der Charité, Department of Cardiology, Angiology and Intensive Care Medicine, Campus Benjamin Franklin, Hindenburgdamm 30, Berlin 12203, Germany.
Ulf LandmesserDeutsches Herzzentrum der Charité, Department of Cardiology, Angiology and Intensive Care Medicine, Campus Benjamin Franklin, Hindenburgdamm 30, Berlin 12203, Germany.
Markus ReinthalerDeutsches Herzzentrum der Charité, Department of Cardiology, Angiology and Intensive Care Medicine, Campus Benjamin Franklin, Hindenburgdamm 30, Berlin 12203, Germany.
Fabian BarbieriDeutsches Herzzentrum der Charité, Department of Cardiology, Angiology and Intensive Care Medicine, Campus Benjamin Franklin, Hindenburgdamm 30, Berlin 12203, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Tricuspid transcatheter edge-to-edge repair (T-TEER) effectively reduces tricuspid regurgitation (TR) severity and improves symptoms and functional outcome in patients with TR and high surgical risk. Procedural guidance using intracardiac echocardiography (ICE) is a promising alternative in case of impaired imaging quality or contraindications for transoesophageal echocardiography (TEE) but also to defer any form of anaesthesia. The present case report aims to display the feasibility of an ICE-only guided T-TEER procedure in local anaesthesia and respective set-up. Case summary: A multimorbid 74-year-old man with severe mixed secondary TR was admitted for elective T-TEER. He suffered from NYHA III dyspnoea, chronic lower leg oedema and had two heart failure hospitalizations in the last 14 months. Local heart team recommended T-TEER due to the high individual surgical risk. TR was successfully reduced to trace by ICE-only guided T-TEER with implantation of two devices, one in anteroseptal and one in posteroseptal position in conventional clover technique. The patient was discharged without any notable complications. Discussion: The present case report demonstrates the feasibility of an ICE-only guided T-TEER, exclusively conducted in local anaesthesia. High-quality intraprocedural imaging guidance was essential for achieving procedural success.

Indexed as

Case reportIntracardiac echocardiographyLocal anaesthesiaThree-dimensional echocardiographyTranscatheter edge-to-edge repairTricuspid regurgitation

Identifiers

PMID42582716
PMCPMC13458164

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