Universität zu Köln

Moellmann, Helge, von Bardeleben, Ralph Stephan, Dreger, Henryk ORCID: 0000-0003-1909-4329, Hausleiter, Joerg, Kempf, Tibor ORCID: 0000-0001-6901-8442, Lubos, Edith, Lurz, Philipp, Nef, Holger, Nickenig, Georg, Raake, Philip, Opitz, Christian, Rudolph, Volker, Schmidt, Hendrik, Schulze, P. Christian and Baldus, Stephan (2022). Tricuspid valve insufficiency Position paper of the DGK. Kardiologie, 16 (5). S. 372 - 383. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 2731-7137

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Abstract

In the majority of cases patients with high-grade tricuspid valve insufficiency (TI) represent a high-risk population and the treatment is particularly complex. Therefore, selection of an appropriate therapeutic pathway for affected individuals first requires precise characterization of the genesis of the vitium. This includes transthoracic and transesophageal echocardiography, right heart and left heart catheterization and additional imaging by CT and MRI as needed. Treatment requires interdisciplinary discussion, including optimization of drug treatment for left heart failure, discussion of antiarrhythmic treatment procedures for atrial genesis of TI, exclusion of pathologies of the heart requiring surgical treatment, and exclusion of indications for targeted therapy for pulmonary arterial hypertension (PAH). Interventional treatment now has an important place, particularly because of the very frequent comorbidity of patients. The 2021 ESC guidelines recommended catheter-based reconstruction for the first time. The still limited experience with this complex form of treatment, the lack of randomized prospective studies on its effectiveness, and challenges in periprocedural imaging have prompted the DGK to formulate these recommendations in anticipation of concrete criteria for future center certification when providing a program for interventional treatment of tricuspid regurgitation. This paper is intended to contribute to the provision of this important treatment to patients in Germany under the premise of the best possible quality.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Moellmann, Helge UNSPECIFIED UNSPECIFIED UNSPECIFIED von Bardeleben, Ralph Stephan UNSPECIFIED UNSPECIFIED UNSPECIFIED Dreger, Henryk UNSPECIFIED orcid.org/0000-0003-1909-4329 UNSPECIFIED Hausleiter, Joerg UNSPECIFIED UNSPECIFIED UNSPECIFIED Kempf, Tibor UNSPECIFIED orcid.org/0000-0001-6901-8442 UNSPECIFIED Lubos, Edith UNSPECIFIED UNSPECIFIED UNSPECIFIED Lurz, Philipp UNSPECIFIED UNSPECIFIED UNSPECIFIED Nef, Holger UNSPECIFIED UNSPECIFIED UNSPECIFIED Nickenig, Georg UNSPECIFIED UNSPECIFIED UNSPECIFIED Raake, Philip UNSPECIFIED UNSPECIFIED UNSPECIFIED Opitz, Christian UNSPECIFIED UNSPECIFIED UNSPECIFIED Rudolph, Volker UNSPECIFIED UNSPECIFIED UNSPECIFIED Schmidt, Hendrik UNSPECIFIED UNSPECIFIED UNSPECIFIED Schulze, P. Christian UNSPECIFIED UNSPECIFIED UNSPECIFIED Baldus, Stephan UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-696026
DOI:	10.1007/s12181-022-00566-0
Journal or Publication Title:	Kardiologie
Volume:	16
Number:	5
Page Range:	S. 372 - 383
Date:	2022
Publisher:	SPRINGER HEIDELBERG
Place of Publication:	HEIDELBERG
ISSN:	2731-7137
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language NATIVE VALVULAR REGURGITATION; ANNUAL UPDATED REGISTRY; GERMAN SOCIETY; REPAIR; OUTCOMES; ECHOCARDIOGRAPHY; RECOMMENDATIONS; PACEMAKER; SYSTEM; IMPACT Multiple languages Cardiac & Cardiovascular Systems Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/69602