Baseline TR linked to lower quality of life after TAVR, M-TEER—are more interventions the answer?

Patients presenting for TAVR or M-TEER with baseline moderate or severe tricuspid regurgitation were associated with lower post-treatment KCCQ scores and a higher mortality rate. Perhaps treating more of these patients with tricuspid valve repair or replacement could make a difference, researchers noted. 

OCT-guided PCI boosts outcomes when treating complex lesions

OCT-guided PCI, or optical coherence tomography-guided percutaneous coronary intervention. Optical coherence tomography-guided percutaneous coronary intervention on a calcific protruding nodule. A) Angiography shows a mid-left anterior descending (LAD) nodular obstruction (arrowhead). B) Optical coherence tomography (OCT) imaging reveals a small minimal lumen area and (C) confirms the aetiology of the obstruction to be a calcific protruding nodule (arrowhead). Images courtesy of EuroIntervention

Optical coherence tomography-guided percutaneous coronary intervention on a calcific protruding nodule. A) Angiography shows a mid-left anterior descending (LAD) nodular obstruction (arrowhead). B) Optical coherence tomography (OCT) imaging reveals a small minimal lumen area and (C) confirms the aetiology of the obstruction to be a calcific protruding nodule (arrowhead). Images and caption courtesy of EuroIntervention and Ziad A. Ali, MD, DPhil, et al. DOI: 10.4244/EIJ-D-21-00089

When PCI patients present with complex lesions, optical coherence tomography may provide significant value.