Valvular & structural heart diseaseMeta-analysis

Predictors of Procedural and Clinical Outcomes Following Transcatheter Tricuspid Edge-to-Edge Repair

JACC Cardiovasc IntervPublished

  • Systematic review and meta-analysis
  • random-effects meta-analysis
  • PRISMA 2020-compliant

PubMed, Scopus, Cochrane Library and Google Scholar searched January 2008 to March 2025

Authors' conclusion

Limited data suggest that an intermediate disease profile may derive the greatest benefit, but this finding is confined to single-registry analyses.

Study context

Population
Patients undergoing tricuspid transcatheter edge-to-edge repair59 studies
Outcome
Multivariable predictors of procedural success and adverse outcomes (mortality, HF hospitalization, MACE, procedural success)

Pooled result

As reported in the abstract

Baseline tricuspid regurgitation severity predicted residual tricuspid regurgitation
OR 2.50 (95% CI 1.33-4.71)
Nonanteroseptal jet location predicted residual tricuspid regurgitation
OR 2.46 (95% CI 1.08-5.60)
Increasing coaptation gap predicted residual tricuspid regurgitation
HR per mm 1.19 (95% CI 1.07-1.33)
Residual tricuspid regurgitation ≥3+ and all-cause mortality
pooled HR 2.19 (95% CI 1.60-3.00; I2 = 0%-2%)
Residual tricuspid regurgitation ≥3+ and MACE
pooled HR 1.84 (95% CI 1.37-2.48; I2 = 0%-2%)

Further pooled results

Surgical risk models

EuroSCORE II showed limited discrimination; TRI-SCORE performed better

Original publication

Predictors of Procedural and Clinical Outcomes Following Transcatheter Tricuspid Edge-to-Edge Repair. JACC Cardiovasc Interv. Published 25 May 2026. doi:10.1016/j.jcin.2026.03.017

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