Valvular & structural heart disease

Health Status After Transcatheter Tricuspid-Valve Repair in Patients With Severe Tricuspid Regurgitation

J Am Coll CardiolPublished Secondary analysis of the TRILUMINATE Pivotal randomised trial

Authors' conclusion

T-TEER with the TriClip system resulted in substantial and sustained health status improvement in patients with severe TR compared with medical therapy alone.

Study context

Population
Patients with severe tricuspid regurgitation
Participants
175 vs 175
Comparison
Tricuspid transcatheter edge-to-edge repair (T-TEER) vs medical therapy
  • T-TEERn = 175
  • Medical therapyn = 175reference
Primary endpoint
Health status by KCCQ overall summary score (range 0-100; higher = better)
Follow-up
1 month and 1 year

Primary result

As reported in the abstract

KCCQ overall summary score
T-TEER vs Medical therapyMean between-group difference, points (95% CI)
1 month
9.4(5.3–13.4)
1 year
10.4(6.3–14.6)

Further findings

Alive and well (KCCQ overall summary ≥60 and no decline >10 points from baseline) · 1 year · NNT 3.5

P < 0.001

Kansas City Cardiomyopathy Questionnaire (KCCQ) benefit by baseline KCCQ overall summary score

Benefit of T-TEER diminished as baseline KCCQ overall summary score increased
Pint < 0.001

Exploratory analyses

Much of the health status benefit explained by tricuspid regurgitation (TR) reduction; health status improvement strongly correlated with reduced 1-year mortality and HF hospitalization
  • Exploratory

Original publication

Health Status After Transcatheter Tricuspid-Valve Repair in Patients With Severe Tricuspid Regurgitation. J Am Coll Cardiol. Published 26 October 2023. doi:10.1016/j.jacc.2023.10.008

Composed by AI from the published abstract and checked against it. How Briefs are made →

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