Table 1.

Considerations when choosing type of transcatheter therapy for tricuspid regurgitation.

	Leaflet approximation	Annuloplasty	Orthotopic valve replacement	Heterotopic caval valve implantation
Primary Etiology	+	−	+	+/−
Coaptation Gap > 7 mm	−	+/−	+	+/−
Complex Subvalvular Anatomy	−	+/−	+/−	+/−
CIED with Impingement	+/−	−	+	+/−
Leaflet Tethering >10 mm	+	−	+	+/−
Leaflet Morphology (>3)	+/−	+/−	+	+/−
Large Annulus	+	−	−	+/−
Small RV dimensions	+	+	+/−	+/−
Poor RV function	+/−	+/−	+/−	+/−
No Anticoagulation	+/−	+	+/−	+/−
Difficult TEE Imaging	+/−	+/−	+/−	+/−
Unfavorable IVC anatomy	+/−	+/−	+/−	−

+, Favorable; +/−, May or may not be favorable; —, Not favorable.

RV, right ventricle; TEE, transesophageal echocardiography; IVC, inferior vena cava.