e.TRICINCH

The TriCinch (4Tech Cardio, Galway, Ireland) is an annuloplasty system that consists of a screw for anchoring to the TVA at its supravalvular anterior area and a Dacron band attached to an expandable stent that is placed at the inferior vena cava (IVC), generating tension and thus reducing the diameter of the septolateral diameter of the TVA. In the PREVENT study, 24 patients were treated with the first generation of this device. Implantation success was achieved in 81% of the patients, with a reduction of one grade or more in the severity of TR in 94% of the cases, together with functional class improvement. However, two patients suffered hemopericardium and 5 late detachments were recorded. Because of this, the second-generation TriCinch was developed, incorporating an improved anchoring coil system that is inserted in the pericardial space with two hemostatic seals. The first in-human experience suggests that the device is safe.

*Percutaneous Treatment of Tricuspid Regurgitation DOI: http://dx.doi.org/10.5772/intechopen.95799*
