About EVOQUE

Tricuspid regurgitation is when the heart’s tricuspid valve doesn't close properly. When this happens, blood that's supposed to flow out of the heart flows backward instead. This interruption in regular blood flow leads to symptoms like fatigue and swelling. A procedure called EVOQUE can help.

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How it works

The EVOQUE procedure is performed with a minimally invasive approach, meaning there is no need for open-heart surgery. A replacement tricuspid valve is carefully guided through a small incision in the groin and placed in the tricuspid valve. This catheter-based technique results in a smoother, quicker recovery and is particularly beneficial for high- and intermediate-risk patients. Many EVOQUE patients are back to enjoying daily activities within a week.

How to prepare
  • Pre-procedure assessment: You’ll have a consultation with your cardiology team to review your medical history, perform any necessary tests and confirm that TAVI is the best option for you. Tests may include blood work, an echocardiogram, transesophageal echocardiogram and imaging to evaluate the condition of your aortic valve.
  • Medication adjustments: Your provider may advise you to adjust or temporarily stop certain medications, particularly blood thinners, in the days before the procedure. Be sure to follow all instructions carefully to reduce any risks during EVOQUE.
  • Fasting instructions: You will be instructed not to eat or drink anything for a set period before the procedure, typically starting at midnight the night before. Your care team will provide specific fasting guidelines.
  • Plan for support after the procedure: Arrange for a family member or friend to accompany you on the day of your EVOQUE procedure and assist you during your recovery at home.
  • Questions for your care team: If you have any questions about what to expect, recovery time or any other aspect of the procedure, write them down and bring them to your pre-procedure appointments.
  • After your EVOQUE procedure: you’ll spend a short period in the hospital, usually one to two days, where your healthcare team will closely monitor your recovery. It's normal to experience some soreness or bruising at the catheter insertion site, but this discomfort typically resolves within a few days.
What to expect

Once at home, you should plan on resting and avoiding any strenuous activities for several weeks. Light activities, such as walking, are encouraged to aid circulation, but heavy lifting should be avoided until your doctor gives you clearance.

Your healthcare team will also schedule follow-up appointments to monitor your progress and ensure your heart is healing well.

  • Manage discomfort: Mild pain or discomfort after the procedure is common, and your doctor may recommend over-the-counter pain relievers to help manage it. Be sure to take any medications as prescribed.
  • Diet and hydration: Maintaining a heart-healthy diet is important. It's best to avoid foods high in salt, sugar and saturated fats. Staying well-hydrated and eating a balanced diet rich in fruits, vegetables and lean proteins will support your recovery and overall heart health.
  • Listen to your body: Feeling tired after the procedure is normal, but if you experience symptoms such as increased shortness of breath, chest pain or swelling, contact your healthcare team right away.

The heart of the matter

People with tricuspid regurgitation experience high levels of fatigue and swelling of the legs, ankles, abdomen and sometimes the liver. EVOQUE is an innovative solution that brings relief without the worry of major surgery.

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Our expertise in EVOQUE

At Endeavor Health, our cardiovascular team is highly skilled in the latest minimally invasive techniques, bringing together cardiologists, interventional specialists and advanced imaging technology to deliver precise, effective care.

Our team’s expertise and personalized approach ensure that you receive a treatment plan tailored to your unique needs, maximizing the benefits of this advanced procedure. With extensive experience and a commitment to quality, our team is here to guide you through every step of your EVOQUE journey — from initial consultation to follow-up care.

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Frequently asked questions

Tricuspid regurgitation occurs when the tricuspid valve does not close properly, allowing blood to flow backward into the right atrium. This can lead to symptoms such as fatigue, swelling and shortness of breath.

Yes, the EVOQUE procedure is FDA-approved for treating tricuspid regurgitation. Endeavor Health is proud to offer this advanced, life-improving treatment option to our patients.

As with any medical procedure, there are risks, including bleeding, infection or potential complications with EVOQUE. Your doctor will discuss these risks with you before the procedure, and help you make the decision that feels best for you.

EVOQUE and TriClip are both minimally invasive procedures to improve tricuspid valve function and better direct the flow of blood. TriClip is used to repair the tricuspid valve using a clip, while EVOQUE is a valve that is placed into the existing valve. Both procedures are ideal for patients who need tricuspid valve repair without having to undergo open-heart surgery.

What are some advantages of choosing EVOQUE?

  • Minimally invasive: No need for open-heart surgery, which means smaller incisions and a quicker recovery.
  • Improves quality of life: Patients often experience reduced symptoms, such as less fatigue and swelling.
  • Suitable for high-risk patients: EVOQUE is an excellent option for patients who are not candidates for more invasive heart surgeries.
  • Shorter hospital stay: Most patients can return home within a few days.

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Heart health is within reach. Schedule an appointment with our team to discuss the right course of treatment for you.

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At Endeavor Health Cardiovascular Institute, your heart health is our mission. With advanced technologies, compassionate care and a dedicated team of specialists, we’re here to help you on every step of your heart health journey.

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