Valvular & structural heart diseaseCohort study

Bicaval TricValve Implantation in Patients With Severe Symptomatic Tricuspid Regurgitation

JACC Cardiovasc IntervPublished

  • Prospective single-arm trial (pooled TRICUS and TRICUS EURO)
  • nonblinded
  • nonrandomized
  • early-in-man

Authors' conclusion

Caval valve implantation with the TricValve system associated with meaningful 1-year clinical improvements in terms of QOL along with relatively low mortality rates.

Study context

Population
NYHA class III or IV severe tricuspid regurgitation (TR), optimally medicated, ineligible for open heart surgery, with significant caval backflowcombined cohort
Participants
44 participants
Outcome
Quality of life (QOL) metrics and functional status
Follow-up
1 year

Main finding

As reported in the abstract

Clinical improvement (≥15-point increase in KCCQ-12 score, improvement to NYHA class I or II, or ≥40 m increase in 6-min walk test)

Clinical improvement achieved, n (%)

42 (95.5%)

Observational data: associations, not effects.

Further findings

Abolished hepatic vein backflow, persisting

Patients with abolished, persisting hepatic vein backflow
63.8%

HF rehospitalization · 1 year

HF rehospitalization rate
29.5%

Death · 1-year follow-up

Deaths, n (%)
3 (6.8%)
CV deaths
1

N-terminal pro-B-type natriuretic peptide levels

Reduction in N-terminal pro-B-type natriuretic peptide levels
P = 0.032

Safety

Stent fracture, conduction system disturbances, clinically significant leaflet thrombosis

Not detected

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Bicaval TricValve Implantation in Patients With Severe Symptomatic Tricuspid Regurgitation. JACC Cardiovasc Interv. Published 6 December 2023. doi:10.1016/j.jcin.2023.10.043

Summarised from the published abstract; every number is checked against it