A four-grade severity assessment for residual regurgitation after transcatheter tricuspid valve repairs is more sensitive for predicting survival, report investigators.
PARIS — By assessing residual regurgitation after a transcatheter tricuspid valve repair with a four-grade rather than three-grade system, physicians can predict survival more accurately, reported investigators.
Using the three-grade scheme, 203 patients had no mild tricuspid regurgitation, 319 had moderate residual tricuspid regurgitation, and 91 had severe tricuspid regurgitation at discharge. There was a statistically significant difference in survival between the moderate and severe groups but not between mild and moderate.
"These data show that the outcome of patients with moderate residual tricuspid regurgitation as conventionally defined are heterogeneous," Dreyfus explained."By subdividing the moderate tricuspid regurgitation into two different grades, it refines the prognosis of these patients." As a less invasive alternative to surgery, transcatheter tricuspid repair has become the dominant method of tricuspid regurgitation correction in several countries, Dreyfus said. He noted that other studies, including the recentHowever, 30% or more patients still experience meaningful tricuspid regurgitation after transcatheter procedures, according to Dreyfus.
Cardiac Surgery Tricuspid Regurgitation Tricuspid Insufficiency Valve Repair Heart Surgery
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