Anatomic Considerations for Transcatheter Tricuspid Valve Intervention

In recent years, novel transcatheter tricuspid valve interventions (TTVI) have been developed for the treatment of severe tricuspid regurgitation (TR) in symptomatic and inoperable patients who meet the anatomic criteria for eligibility. The anatomic functional assessment of the tricuspid valve is crucial for the choice of the appropriate strategy, depending on the currently available technique: edge-to-edge leaflet repair, tricuspid annuloplasty, caval implants, spacers, and total valve replacement. The aim of this review is to discuss the multimodality imaging approach for screening TR patients and to identify anatomic features to choose the best option for the patient.