Valvular & structural heart diseaseCohort study

Heart Failure Hospitalizations and Clinical Outcomes in Patients Undergoing Tricuspid Transcatheter Edge-To-Edge Repair: Insights from EuroTR

Eur J Heart FailPublished

  • Registry-based cohort study
  • real-world
  • multivariable analysis

Authors' conclusion

In the EuroTR cohort, a history of HFH was highly prevalent and associated with worse clinical outcomes. Among high-risk patients with symptomatic TR, T-TEER significantly lowered HFH risk, with residual TR grade ≤2 being the key predictor for reduced HFH incidence.

Study context

Population
Patients undergoing tricuspid transcatheter edge-to-edge repair (T-TEER) for symptomatic tricuspid regurgitation (TR), EuroTR registryEuroTR registry
Participants
1,000 patients
Exposure
Prior heart failure hospitalization (HFH) vs no HFH in the year before T-TEER
  • No HFHn = 361reference
  • Single HFHn = 459
  • Multiple HFHn = 180

Main finding

As reported in the abstract

Prevalence of HFH the year before T-TEER and mortality
mortality
Each group vs no HFHAdjusted hazard ratio (95% CI)
Single HFH
1.51(1.11–2.06)
Multiple HFH
1.63(1.15–2.31)

Observational data: associations, not effects.

Further findings

HFH risk after vs before T-TEER · 1 year following T-TEER

HFH risk decreased vs the previous year
72%

Procedural success (residual TR ≤2)

Did not differ between single, multiple or no HFH
Sole independent predictor for reducing HFHs

All-cause mortality or HFH

Higher risk with a history of HFH

Original publication

Heart Failure Hospitalizations and Clinical Outcomes in Patients Undergoing Tricuspid Transcatheter Edge-To-Edge Repair: Insights from EuroTR. Eur J Heart Fail. Published 18 July 2025. doi:10.1002/ejhf.3757

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