Valvular & structural heart disease
Transfemoral tricuspid valve replacement and one-year outcomes: the TRISCEND study
Authors' conclusion
In an elderly, highly comorbid population with ≥moderate TR, patients receiving transfemoral EVOQUE transcatheter TV replacement had sustained TR reduction, significant increases in stroke volume and cardiac output, and high survival and low hospitalization rates with improved clinical, functional, and quality-of-life outcomes to one year.
Study context
- Population
- Patients with ≥moderate, symptomatic tricuspid regurgitation (TR) despite medical therapy
- Participants
- 176 patients
- Outcome
- TR reduction to ≤mild, haemodynamics, NYHA class, KCCQ and 6-minute walk distance
- Follow-up
- One year
Methodological detailsmulticentre
- Multicentre
Main finding
As reported in the abstract
- TR reduced to ≤mild
- 97.6% (P < .001)
- Increase in stroke volume
- 10.5 ± 16.8 mL (P < .001)
- Increase in cardiac output
- 0.6 ± 1.2 L/min (P < .001)
- NYHA class I or II achieved
- 93.3% (P < .001)
- KCCQ score increase
- 25.7 points (P < .001)
- Increase in 6-minute walk distance
- 56.2 m (P < .001)
Observational data: associations, not effects.
Further findings
All-cause mortality and HF hospitalization · one year
- All-cause mortality
- 9.1%
- Hospitalized for HF
- 10.2%
Original publication
Transfemoral tricuspid valve replacement and one-year outcomes: the TRISCEND study. Eur Heart J. Published 1 November 2023. doi:10.
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