Tricuspid Valve The pre-op assessment tool for Tricuspid valve related procedures Based on CT-data the 3D shape of the Tricuspid valve and surrounding structures can be visualized and analyzed. A Virtual valve or anchor device can be placed. The distances towards the RCA can be easily assessed and detailed analysis of the inferior and superior Vena Cava dimensions can be performed. Tricuspid Annulus Measurements Tricuspid annulus Surgical view Annulus Annotation The Tricuspid annulus can be traced by selecting the hinge points, while the software rotates around the annulus. The annotated annulus dimensions, like area, perimeter and custom diameter are automatically calculated. The Commissures are depicted as well, additional commisures can be added and the Tricuspid leaflets can be annotated. Annulus Dimensions Tricuspid leaflets Tricuspid Valve or device placement Optimal Projection The simulated Angio view can be used to find an optimal projection which can help save time during the procedure. Virtual Valve or Device A virtual valve can be placed by means of an STL file of a valve or by creating a custom valve. This will aid in the assessment of implantation depth, valve selection and anchoring possibilities. When anchors are placed, a ring-like device can also be visualized. Philipsweg 1 6227 AJ Maastricht The Netherlands Simulated Angio view Hockey puck Atrial structures Virtual valve

Tricuspid Valve Anchoring and RCA Trace The anchoring workflow can help to assess anchor placement based on proximity to the annulus, the wall and surrounding vessels. The RCA centerline can be traced either automatically or manually and the distance RCA distance to annulus to the annulus is automatically calculated. Trabeculae Trabeculae can be segmented automatically and are highlighted in the Angio view. Possible interference with trabeculae can be assessed by implantation of a virtual device. Trabeculae in VR Anchors and virtual device SVC and IVC assessment The superior Vena Cava can be...