Tricuspid Clip (TriClip), TEER (Transcatheter Edge-to-Edge Repair of the Tricuspid leaflet)

Severe tricuspid regurgitation (TR), whether symptomatic or asymptomatic, is predictive of poor survival if left untreated. Medical therapy, consisting mostly of diuretics, is of limited efficacy. Clinical sequelae, including right heart dysfunction, peripheral edema, and liver congestion, confer a poor quality of life and poor prognosis. Surgical tricuspid repair and replacement have significant mortality and morbidity risks due to patient comorbidities and poor right heart function.

TEER (Transcatheter Edge-to-edge repair) of the Tricuspid leaflet

1 Steerable guide catheter

1 Clip delivery system (XTW)

1 Stool/Booster

1 Booster support plate

1 Sterile stabiliser

85cm - measurement from mid-chest to foot stool

Big trolley (MITRACLIP trolley)

4 3-way taps

4 bionector (CARESITE Luer access device)

2 1000mL Heparinised saline (1,000 iu per 1L bag)

2 giving sets

2 50mL luerlock syringes

2 pressure bags

1 drip stand

Scrub trolley

1 Barts TAVI pack

1 COOK femoral needle

1 8F femoral sheath

1 14F short femoral sheath

2 big Chlorapreps

2 pressure lines

1 JR4 diagnostic catheter

1 Ultrasound probe cover

1 500mL saline bag

1 Amplatz super stiff wire (straight tip, short taper)

1 60mL luerlock syringe

2 Proglide

1 Backstop

1 1L sterile H20 bottle

1 10,000iu Heparin

1 20mL Lidocaine 1%