Valvular & structural heart disease

Predicting Outcomes in Patients With Tricuspid Regurgitation Undergoing Transcatheter Edge-to-Edge Repair Using an Artificial Intelligence–Derived Risk Score: The EuroTR Risk Score

JACC Cardiovasc IntervPublished Prognostic model development and validation study

Performance · 1-year mortality prediction by EuroTR scoreResult — go to the resultHazard ratio 4.26 95% CI 2.71–6.67

Authors' conclusion

The EuroTR score offers an easy-to-use, externally validated, accurate risk stratification tool for patients undergoing T-TEER.

Study context

Population
Patients with severe tricuspid regurgitation undergoing T-TEER, EuroTR registry
Participants
1,826 patients
Comparison
EuroTR score vs established risk scores
  • Derivationn = 1,225
  • Validationn = 601
Outcome
1-year mortality
Follow-up
1 year
Methodological detailsregistry-based, derivation and validation cohorts, extreme gradient boosting (AI)
  • Registry-based
  • Derivation and validation cohorts
  • Extreme gradient boosting (AI)

Performance

1-year mortality prediction by EuroTR score

Hazard ratio

4.26

95% CI 2.71–6.67

P < 0.001

By group

Validation

0.741

95% CI 0.699–0.783

Harrell's C index

High-risk vs Low-risk
HR 4.26 (95% CI 2.71–6.67); P < 0.001

As reported in the abstract

Further findings

Combined endpoint: 1-year mortality, HF hospitalization or NYHA class ≥III dyspnea

1-year survival, entire cohort

Overall 1-year survival
82.1% (95% CI: 80.1%-84.2%)
No significant differences between derivation and validation cohorts

Subgroups (atrial vs nonatrial TR, TRILUMINATE-eligible vs noneligible, with vs without cardiac device leads)

EuroTR score performance confirmed in several subgroups

Original publication

Predicting Outcomes in Patients With Tricuspid Regurgitation Undergoing Transcatheter Edge-to-Edge Repair Using an Artificial Intelligence–Derived Risk Score: The EuroTR Risk Score. JACC Cardiovasc Interv. Published 9 March 2026. doi:10.1016/j.jcin.2025.11.034

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

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