Valvular & structural heart disease

Heterotopic Crosscaval Transcatheter Tricuspid Valve Replacement for Patients With Tricuspid Regurgitation: The Trillium Device

JACC Cardiovasc IntervPublished Single-arm multicentre study

Authors' conclusion

The Trillium device is a safe and effective device for the treatment of patients with severe or greater TR ineligible for other therapeutic options.

Study context

Population
Patients with severe or greater tricuspid regurgitation (TR) ineligible for surgical or other interventional orthotopic tricuspid valve (TV) treatment2,021–2023
Participants
20 patients
Outcome
Technical performance, efficacy and safety of heterotopic cross-caval transcatheter TV replacement
Follow-up
30 days
Methodological detailsmulticenter
  • Multicenter

Main finding

As reported in the abstract

Postprocedural change in central venous pressure (median, Q1-Q3 −5 to −1 mm Hg)
−3 mm Hg; P = 0.003
TR severity at the level of the device reduced in all cases
P < 0.001

Further findings

NYHA functional class · 30 days

Improvement in NYHA functional class
P = 0.005

Edema severity score · 30 days

Trend toward reduction (median change, Q1-Q3 −1 to −0)
−0.5; P = 0.052

Safety

Adverse events within 30 days

Death
1
HF hospitalization
2
Hemodialysis
2
Major bleeding
2

Original publication

Heterotopic Crosscaval Transcatheter Tricuspid Valve Replacement for Patients With Tricuspid Regurgitation: The Trillium Device. JACC Cardiovasc Interv. Published 9 June 2025. doi:10.1016/j.jcin.2025.04.036

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