Gercek, Muhammed, Rudolph, Volker, Arnold, Martin, Beuthner, Bo Eric, Pfister, Roman, Landendinger, Melanie, Koerber, Maria Isabel, Friedrichs, Kai P. and Jacobshagen, Claudius (2021). Transient acute right coronary artery deformation during transcatheter interventional tricuspid repair with the Cardioband tricuspid system. EuroIntervention, 17 (1). S. 81 - 88. TOULOUSE CEDEX 6: EUROPA EDITION. ISSN 1969-6213

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Abstract

Background: The Cardioband tricuspid valve reconstruction system is a size-adjustable tricuspid reconstruction device for interventional treatment of tricuspid regurgitation (TR). Contraction of the device after successful implantation can be associated with an acute deformation of the right coronary artery (RCA). Aims: The aim of this study was to provide data on the persistence and clinical significance of acute RCA deformation following Cardioband implant procedures. Methods: Data from all patients with intraprocedural RCA deformation during Cardioband implantation were collected from four centres between October 2018 and January 2020. Control angiographies were performed in all of these patients before discharge. Results: RCA deformation occurred in 14 out of 51 patients. Follow-up coronary angiography showed a complete resolution of deformation in all cases while patients remained clinically asymptomatic and had an uneventful post-interventional course. Intraprocedural coronary stent implantation was performed in two of the earlier cases according to the personal assessment of the implanters. Conclusions: RCA deformation is relatively frequent following interventional tricuspid annuloplasty but appears to be completely reversible in the absence of flow impairment or vascular damage. Based on our early experience watchful waiting is the most appropriate strategy to avoid unnecessary coronary interventions.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Gercek, MuhammedUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Rudolph, VolkerUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Arnold, MartinUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Beuthner, Bo EricUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Pfister, RomanUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Landendinger, MelanieUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Koerber, Maria IsabelUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Friedrichs, Kai P.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Jacobshagen, ClaudiusUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-585918
DOI: 10.4244/EIJ-D-20-00305
Journal or Publication Title: EuroIntervention
Volume: 17
Number: 1
Page Range: S. 81 - 88
Date: 2021
Publisher: EUROPA EDITION
Place of Publication: TOULOUSE CEDEX 6
ISSN: 1969-6213
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
REGURGITATION; VALVEMultiple languages
Cardiac & Cardiovascular SystemsMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/58591

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