Valvular & structural heart diseaseCohort study

Mid-Term Outcomes of K-Clip Transcatheter Tricuspid Annuloplasty System in Patients With Severe Functional Tricuspid Regurgitation

JACC Cardiovasc IntervPublished

  • Single-arm prospective study
  • core laboratory selection
  • data and safety monitoring board
  • clinical events committee adjudication

Authors' conclusion

The K-Clip transcatheter tricuspid annuloplasty system showed high procedural success, a favorable safety profile, sustained TR reduction, and marked improvements in clinical outcomes and quality of life at 1 year.

Study context

Population
Patients with severe functional tricuspid regurgitation (TR) (grade ≥4) resistant to medical management
Participants
96 patients

Main finding

As reported in the abstract

Implantation success and TR reduction · 1 year

Implantation success rate

97.9%

TR decreased by ≥1 grade

94.2%

TR decreased by ≥2 grades

87.2%

Observational data: associations, not effects.

Further findings

Clinical outcomes · 1 year

All-cause mortality
5.2%
Composite major adverse event rate
19.8%
Survival (Kaplan-Meier)
94.7% ± 2.3%
Freedom from HF rehospitalization (Kaplan-Meier)
90.4% ± 3.0%
No device-related reinterventions

Functional status and quality of life · 1 year

NYHA class significantly improved
P < 0.001
NYHA class I or II
97.7%
6-minute walk distance improvement
42.8 m (P < 0.001)
KCCQ score increase
7.0 points (P < 0.001)

Original publication

Mid-Term Outcomes of K-Clip Transcatheter Tricuspid Annuloplasty System in Patients With Severe Functional Tricuspid Regurgitation. JACC Cardiovasc Interv. Published 9 December 2024. doi:10.1016/j.jcin.2024.10.007

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