This "Nail It with Nadira" case-based webinar brings together an expert tricuspid heart team to discuss the evolving role of three-dimensional intracardiac echocardiography (3D ICE) in transcatheter tricuspid interventions. The session highlights 3D ICE in transcatheter edge-to-edge repair (T-TEER) and transcatheter tricuspid valve replacement (TTVR). 

Moderated by Dr Nadira Hamid, the faculty will review clinical applications of 3D ICE in tricuspid practice, with discussion of workflow optimisation, imaging approaches and procedural efficiency. 

Dr Pradeep Yadav will present a TTVR case using 3D ICE as the primary imaging modality. Lynne Brown will outline key 3D ICE views, measurements and reconstructions that may support patient selection, leaflet interaction, device positioning and assessment of residual tricuspid regurgitation. Dr Martin Swaans will discuss emerging developments in tricuspid imaging, including fusion imaging in TTVR, advanced three-dimensional rendering and integration of artificial intelligence into clinical workflows. 

The session will conclude with a panel discussion and live audience Q&A addressing practical challenges such as limited TEE windows, complex right-sided anatomy and hardware, large coaptation gaps and multidisciplinary team training considerations. Participants will gain experience-based insights and practical perspectives on how 3D ICE can be incorporated to support and scale tricuspid programmes in real-world clinical settings.