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The Association of Tricuspid Regurgitation With Transcatheter Aortic Valve Replacement Outcomes: A Report From The Society of Thoracic Surgeons/American College of Cardiology Transcatheter Valve Therapy Registry

Saturday, March 3, 2018

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Source Name: The Annals of Thoracic Surgery


Fenton H. McCarth, Sreekanth Vemulapalli, Zhuokai Li, Vinod Thourani, Roland A. Matsouaka, Nimesh D. Desai, Ajay Kirtane, Saif Anwaruddin, Matthew L. Williams, Jay Giri, Prashanth Vallabhajosyula, Robert H. Li, Howard C. Herrmann, Joseph E. Bavaria, Wilson Y. Szeto

The STS/ACC TAVR Registry  was analyzed to determine the effect of tricuspid regurgitation (TR) on outcomes after transcatheter aortic valve replacement (TAVR).  The authors found that TR, of any severity, is quite common in TAVR patients (80%).  The breakup of TR severity was as follows:

  • Mild TR:             56%
  • Moderate TR: 19%
  • Severe TR:         5%

Findings:  Along with higher predicted risk, increasing TR severity was associated with increased mortality and readmission.

Should the TR of a certain severity be addressed at the time of TAVR?  How?

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