Snare-Free Endoscopic Tricuspid Valve Repair Using Percutaneous Venous Smart Cannulation: A Descriptive Cohort Study

Background

Minimally invasive and endoscopic techniques have expanded the surgical options for tricuspid valve repair. Conventional approaches often require manual snaring of the venae cavae, which can increase procedural complexity and invasiveness, especially in redo or advanced heart failure settings. This study describes a snare-free totally endoscopic approach to tricuspid valve repair utilizing percutaneous venous selfexpanding cannulation.