Work

Transjugular Transcatheter Tricuspid Valve Replacement With the Evoque System

Year: 2025

Type: article

Abstract: Transcatheter tricuspid valve replacement (TTVR) with the Evoque tricuspid valve replacement system using a transfemoral (TF) approach has demonstrated safety and efficacy in patients with severe symptomatic tricuspid regurgitation. However, anatomical constraints may preclude TF delivery, necessitating alternative approaches. We present a step-by-step guide for performing TTVR via the transjugular (TJ) route based on 2 successful cases. In the first case, TJ access was selected upfront owing to the presence of an Adams-DeWeese inferior vena cava clip, which created a mechanical obstruction to femoral access. In the second case, TF access was attempted but abandoned owing to unfavorable trajectory, making valve deployment unsuccessful despite attempts from both the right and left femoral veins. This guide provides detailed procedural steps, technical considerations, and an algorithm for patient selection to help operators successfully perform TJ TTVR when TF access is not suitable.

Source: JACC Case Reports

DOI: 10.1016/j.jaccas.2025.106049

Authors: Tooba Salar, David CM. Corteville, Bipul Baibhav, Farhad Abtahian, Jeremiah P. Depta

Institutions: Rochester General Hospital, Medical College of Wisconsin

Language: English

Topic: Cardiac Valve Diseases and Treatments

Subfield: Cardiology and Cardiovascular Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $850