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Assessment of Right Ventricular Function Prior to Transcatheter Tricuspid Valve Interventions

  • 01-12-2026
  • CSF Drainage
  • Structural Heart Disease (S Vakamudi, Section Editor)
Published in:

Abstract

Purpose of Review

Right ventricular (RV) function is a key determinant in selecting and managing patients undergoing transcatheter tricuspid valve replacement (TTVR) or transcatheter tricuspid edge-to-edge repair (T-TEER). This review aims to highlight the role of multimodality imaging in assessing RV function, with a focus on its impact on patient selection, procedural planning, and prognostic evaluation.

Recent Findings

Advances in echocardiography, cardiac magnetic resonance imaging, cardiac computed tomography, and right heart catheterization have improved the ability to evaluate RV morphology, systolic performance, and pulmonary hemodynamics. Each modality offers complementary insights, though limitations remain in standardization, reproducibility, and prognostic validation. Emerging imaging strategies and novel functional parameters provide opportunities for more refined risk stratification.

Summary

Integrating multimodality imaging enables a comprehensive evaluation of RV function and enhances decision-making prior to TTVR and T-TEER. A tailored imaging approach improves patient selection and may ultimately optimize outcomes in severe tricuspid regurgitation.
Title
Assessment of Right Ventricular Function Prior to Transcatheter Tricuspid Valve Interventions
Authors
Paolo Springhetti
Michele Tomaselli
Luigi P. Badano
Noela Radu
Andra Negru
Denisa Muraru
Publication date
01-12-2026
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Independent Medical Education Grant:
  • Bayer HealthCare Pharmaceuticals Inc.
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Image Credits
Abstract graphic of layered, concentric circular shapes in bright green, pink, blue, and purple on a dark blue background. The rings and segments form a complex radial pattern without text/© Springer Health+ IME