Valvular & structural heart diseaseCohort study

Tricuspid Regurgitation Disease Stages and Treatment Outcomes After Transcatheter Tricuspid Valve Repair

JACC Cardiovasc IntervPublished

  • Prospective registry cohort study
  • external validation cohort

Authors' conclusion

Compared to medically treated controls, T-TEER was associated with 1-year survival at intermediate stage disease but not at early or advanced disease stages.

Study context

Population
Patients with significant tricuspid regurgitation (TR) in the EuroTR registry, grouped into early, intermediate and advanced disease stage (LV and RV function, renal function, natriuretic peptide levels)
Participants
1,885 patients
Exposure
Tricuspid transcatheter edge-to-edge repair (T-TEER) vs conservative treatment, by TR disease stage
  • T-TEERn = 1,300
  • Conservativen = 585reference
Outcome
Mortality
Follow-up
1 year

Main finding

As reported in the abstract

1-year mortality by TR disease stage
T-TEER vs ConservativeHazard ratio (95% CI)P value
early stage
0.78(0.34–1.80)
P = 0.54
advanced stage
1.06(0.71–1.60)
P = 0.78

Observational data: associations, not effects.

Further findings

Disease stage distribution

Early stage
395 (21%)
Intermediate stage
1,173 (62%)
Advanced stage
317 (17%)

Original publication

Tricuspid Regurgitation Disease Stages and Treatment Outcomes After Transcatheter Tricuspid Valve Repair. JACC Cardiovasc Interv. Published 10 February 2025. doi:10.1016/j.jcin.2024.10.034

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