TriClip Procedural Success (GLIDE) Predictor
- TriClip Procedural Success (GLIDE) Predictor: Explanation and Clinical Context
The GLIDE score is an anatomy-based predictor to estimate procedural success following tricuspid transcatheter edge-to-edge repair (T-TEER), including TriClip. It integrates five echocardiographic variables: septolateral coaptation gap (0–5 mm vs. ≥6 mm), TR jet location (anteroseptal/central vs. posteroseptal/anteroposterior/diffuse), TEE image quality (good vs. limited), chordal density (modest vs. high), and en-face jet morphology (oval/linear vs. star-shaped). Each adverse feature contributes 1 point (range 0–5). Low scores (0–1) correspond to favorable anatomy with >90% procedural success; high scores (≥4) predict low likelihood of achieving target TR reduction. The GLIDE score supports case selection and strategy optimization for T-TEER, complementing operator experience and multimodality imaging assessment.
Reference:
Gerçek M, Narang A, Körber MI, et al. GLIDE Score: Scoring System for Prediction of Procedural Success in Tricuspid Valve Transcatheter Edge-to-Edge Repair. JACC Cardiovasc Imaging. 2024;17(7):729–742. doi:10.1016/j.jcmg.2024.04.008.
Cannata F, Agricola E, et al. Key Imaging Factors for Transcatheter Management of Tricuspid Regurgitation. J Clin Med. 2024;13(20):6144.
Rudolph F, Ivannikova M, et al. Assessment of the GLIDE Score for Prediction of Mild Residual TR After T-TEER. Biomedicines. 2025;13(3).
Sorajja P, et al. TRILUMINATE Pivotal. N Engl J Med. 2023;388:1931–1944.
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