Tricuspid valve repair has seen booming growth in the interventional arena in the last five years, and the trajectory is only up from here. In this episode, interventional cardiologists Dr. Joe Walsh and Dr. Aiden Raney share their wealth of insights and experiences with the latest advancements in tricuspid interventions.

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SYNPOSIS

The conversation covers recent landmark trials, relevant tricuspid physiology, and hands-on experiences in the cath lab with specialty devices like TriClip and Evoque. The interventionalists discuss patient selection, including how to distinguish which patients are most likely to benefit from intervention and how to define procedural success. Dr. Walsh and Dr. Raney also highlight the educational opportunities provided by MurmurMD, a specialized social media platform for peer-to-peer learning for cardiologists and cardiac surgeons.

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TIMESTAMPS

00:00 - Introduction
01:29 - Tricuspid Valve Interventions: An Overview
03:55 - Understanding Tricuspid Regurgitation
10:29 - Therapeutic Options for the Tricuspid Valve
29:25 - Evaluating Success Rates and Patient Expectations
32:27 - Right Heart Catheterization
33:04 - Patient Selection Criteria
34:18 - Challenges with Tricuspid Valve Procedures
34:31 - Case Study: Evoke Device Size Variation
35:26 - Impact of Tricuspid Annulus Rigidity
37:57 - Complications and Management in Tricuspid Procedures
50:00 - Financial Considerations and Reimbursement
54:17 - Training and Educational Resources
59:49 - Conclusion and Final Thoughts

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RESOURCES

Dr. Aidan Raney
https://www.providence.org/doctors/interventional-cardiology/az/phoenix/aidan-raney-1962631101

Dr. Joe Walsh
https://www.saintalphonsus.org/provider/joe-walsh

Coapt Study
https://www.acc.org/Latest-in-Cardiology/Clinical-Trials/2018/09/21/20/12/COAPT

Triluminate Study:
https://www.nejm.org/doi/full/10.1056/NEJMoa2300525

Triscend Study:
https://www.nejm.org/doi/full/10.1056/NEJMoa2401918