Transcatheter tricuspid valve intervention (TTVI)
TTVI have been studied in trials and currently the European guidelines recommend that TTVI may be considered at experienced centers for symptomatic, inoperable, anatomically eligible patients in whom symptomatic or prognostic improvement can be expected.[2]Vahanian A, Beyersdorf F, Praz F, et al; ESC/EACTS Scientific Document Group; ESC Scientific Document Group. 2021 ESC/EACTS Guidelines for the management of valvular heart disease. Eur Heart J. 28 Aug 2021 [Epub ahead of print].
https://www.doi.org/10.1093/eurheartj/ehab395
http://www.ncbi.nlm.nih.gov/pubmed/34453165?tool=bestpractice.com
In the TRILUMINATE trial, tricuspid transcatheter edge-to-edge repair (TEER) was compared with medical therapy in patients with symptomatic severe TR and was associated with improvements in quality of life.[35]Sorajja P, Whisenant B, Hamid N, et al. Transcatheter repair for patients with tricuspid regurgitation. N Engl J Med. 2023 May 18;388(20):1833-42.
https://www.nejm.org/doi/10.1056/NEJMoa2300525
http://www.ncbi.nlm.nih.gov/pubmed/36876753?tool=bestpractice.com
[36]Arnold SV, Goates S, Sorajja P, et al. Health status after transcatheter tricuspid-valve repair in patients with severe tricuspid regurgitation. J Am Coll Cardiol. 2024 Jan 2;83(1):1-13.
https://www.sciencedirect.com/science/article/pii/S0735109723077434
http://www.ncbi.nlm.nih.gov/pubmed/37898329?tool=bestpractice.com
Mortality rates and hospitalizations for heart failure were similar between groups.[35]Sorajja P, Whisenant B, Hamid N, et al. Transcatheter repair for patients with tricuspid regurgitation. N Engl J Med. 2023 May 18;388(20):1833-42.
https://www.nejm.org/doi/10.1056/NEJMoa2300525
http://www.ncbi.nlm.nih.gov/pubmed/36876753?tool=bestpractice.com
The TRISCEND study evaluated transfemoral tricuspid valve replacement in patients with moderate symptomatic TR despite medical therapy and found it was associated with reduced TR, and improved clinical, functional, and quality of life measures at one year of follow-up.[37]Kodali S, Hahn RT, George I, et al. Transfemoral tricuspid valve replacement in patients with tricuspid regurgitation: TRISCEND study 30-day results. JACC Cardiovasc Interv. 2022 Mar 14;15(5):471-80.
https://www.sciencedirect.com/science/article/pii/S193687982200067X
http://www.ncbi.nlm.nih.gov/pubmed/35272771?tool=bestpractice.com
[38]Kodali S, Hahn RT, Makkar R, et al. Transfemoral tricuspid valve replacement and one-year outcomes: the TRISCEND study. Eur Heart J. 2023 Dec 7;44(46):4862-73.
https://academic.oup.com/eurheartj/article/44/46/4862/7335468
http://www.ncbi.nlm.nih.gov/pubmed/37930776?tool=bestpractice.com