TY  - BOOK
AU  - Khan, Jaffar M
AU  - Rogers, Toby
TI  - First-in-human transcatheter pledget-assisted suture tricuspid annuloplasty for severe tricuspid insufficiency
SN  - 1522-1946
PY  - 2021///
KW  - *Cardiac Valve Annuloplasty
KW  - *Heart Valve Prosthesis Implantation
KW  - *Tricuspid Valve Insufficiency
KW  - Aged, 80 and over
KW  - Cardiac Valve Annuloplasty/ae [Adverse Effects]
KW  - Heart Valve Prosthesis Implantation/ae [Adverse Effects]
KW  - Humans
KW  - Male
KW  - Mitral Valve
KW  - Sutures
KW  - Treatment Outcome
KW  - Tricuspid Valve Insufficiency/dg [Diagnostic Imaging]
KW  - Tricuspid Valve Insufficiency/su [Surgery]
KW  - Tricuspid Valve/dg [Diagnostic Imaging]
KW  - Tricuspid Valve/su [Surgery]
KW  - MedStar Heart & Vascular Institute
KW  - Journal Article
N1  - Available online from MWHC library: 1996 - present, Available in print through MWHC library: 1996 - 2006
N2  - BACKGROUND: Tricuspid valve regurgitation is a common malignant disease with no commercially available transcatheter therapy. PASTA is a "percutaneous surgical" procedure using pledgeted sutures to create a double-orifice tricuspid valve; CONCLUSIONS: The anatomy of a double-orifice valve can eliminate TR but a better solution is required to avoid excessive suture tension on annular tissue. Copyright Published 2020. This article is a U.S. Government work and is in the public domain in the USA; METHODS: An 83-year-old man had end-stage TR caused by a defibrillator lead. He consented to undergo PASTA on a compassionate basis. A double-orifice valve was created with pledgeted sutures from percutaneous right ventricular apical access; OBJECTIVES: We report the first pledget-assisted suture tricuspid annuloplasty (PASTA) in a patient with torrential tricuspid regurgitation (TR); RESULTS: TR was reduced from torrential to trace. The vena contracta reduced to from 23 to 1 mm and annular area reduced from 1817 to 782 mm2 . However, the annulus dehisced and required closure with a percutaneous nitinol plug. The patient was discharged home and was alive 6 months later but with persistent symptoms
UR  - https://dx.doi.org/10.1002/ccd.28955
ER  -