Tricuspid regurgitation Leaking right heart valve
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: All patients who underwent an attempted or successful transcatheter tricuspid valve replacement (TTVR) with the EVOQUE system at a center in the BENELUXAge = 18 years at the time of the procedureSufficient clinical and echocardiographic data available in the medical recoed to assess the study outcomes
Exclusion criteria
Exclusion criteria: Essential procedural, clinical, or echocardiographic information is missing, making assessment of the primary and secondary outcome measures impossible.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary endpoint is clinical success at 30 days according to the TVARC criteria, defined as meeting all of the following criteria:Survival without urgent re-interventionAdequate valve function: residual TR = mild (=1+) and a mean transvalvular tricuspid gradient <5 mmHg, with no more than mild paravalvular leakNo major TVARC safety events within 30 days:Cardiovascular mortalityNon-fatal stroke or TIALife-threatening or disabling bleedingAcute kidney injury (KDIGO stage 2–3)Myocardial infarctionDevice embolization or malposition with hemodynamic consequencesAcute valve thrombosis or obstructive dysfunctionMajor vascular complications (TVARC definition) | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary endpoints: TR grade at 12 months.All-cause mortality at 30 days and 12 months.Composite clinical endpoint (e.g., all-cause mortality + HF readmissions) at 12 months.Change in NYHA class, 6MWT, and KCCQ between baseline and 30 days/12 months.Change in echocardiographic and hemodynamic parameters (RV function, RA/RV dimensions, sPAP).Incidence of TVARC-defined complications (periprocedural and during follow-up). | — |
Countries
Belgium, Luxembourg, Netherlands
Contacts
St. Antonius Ziekenhuis