Valvular & structural heart diseaseResearch article
Electrosurgical laceration and stabilisation of tricuspid edge-to-edge repair: the ELASTA-T technique
- step-by-step standardised description of the ELASTA-T strategy
Authors' conclusion
By removing any mechanical obstruction from centrally placed clips, the technique facilitates secure TTVR anchoring and may reduce paravalvular regurgitation. This step-by-step framework may support procedural standardisation and broader adoption, ultimately improving outcomes in this high-risk population.
Study context
- Population
- Patients with recurrent tricuspid valve regurgitation (TVR) after tricuspid transcatheter edge-to-edge repair (T-TEER), particularly when centrally positioned clips impede subsequent transcatheter tricuspid valve replacement (TTVR)
Main finding
As reported in the abstract
ELASTA-T technique
- ELASTA-T allows safe and reproducible single leaflet device attachment (SLDA), creating adequate central space for accurate positioning and full expansion of a transcatheter tricuspid valve (TTV)
- Detachment can be reliably confirmed by fluoroscopy and transoesophageal echocardiography
Original publication
Electrosurgical laceration and stabilisation of tricuspid edge-to-edge repair: the ELASTA-T technique. EuroIntervention. Published 20 April 2026. doi:10.4244/eij-d-25-01316
Summarised from the published abstract; every number is checked against it