# Impact of Different Transcatheter Edge-to-Edge Repair Systems on Tricuspid Annular Dimensions: A Three-Dimensional Imaging Analysis

**Authors:** Jennifer von Stein, Nina C. Wunderlich, Maria Isabel Körber, Stephan Baldus, Juan F. Granada, Roman Pfister, Christos Iliadis, Philipp von Stein

PMC · DOI: 10.1016/j.shj.2025.100758 · Structural Heart · 2025-11-16

## TL;DR

This study compares two heart repair systems and finds they similarly reshape the tricuspid valve during procedures.

## Contribution

The study reveals that different device designs can lead to similar geometric outcomes in tricuspid annular remodeling.

## Key findings

- TriClip and PASCAL both cause significant acute tricuspid annular remodeling.
- Device design differences do not lead to different overall geometric effects.

## Abstract

•Both TriClip and PASCAL induced similar and significant acute tricuspid annular remodeling as assessed by three-dimensional transesophageal echocardiography.•Device design features, including independent leaflet capture and gripper/clasp geometry, may enable different intraprocedural approaches but result in similar overall geometric effects.

Both TriClip and PASCAL induced similar and significant acute tricuspid annular remodeling as assessed by three-dimensional transesophageal echocardiography.

Device design features, including independent leaflet capture and gripper/clasp geometry, may enable different intraprocedural approaches but result in similar overall geometric effects.

## Full-text entities

- **Diseases:** right heart dilation (MESH:C566255), atrial fibrillation (MESH:D001281), right ventricular dysfunction (MESH:D018497), TA (MESH:D016460), TR (MESH:D014262), heart failure (MESH:D006333)
- **Chemicals:** nitinol (MESH:C013616), TriClip (-)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

2 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12764445/full.md

## References

3 references — full list in the complete paper: https://tomesphere.com/paper/PMC12764445/full.md

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Source: https://tomesphere.com/paper/PMC12764445