PMID- 36445158 OWN - NLM STAT- MEDLINE DCOM- 20230309 LR - 20230327 IS - 1522-9645 (Electronic) IS - 0195-668X (Linking) VI - 44 IP - 10 DP - 2023 Mar 7 TI - Sex-related characteristics and short-term outcomes of patients undergoing transcatheter tricuspid valve intervention for tricuspid regurgitation. PG - 822-832 LID - 10.1093/eurheartj/ehac735 [doi] AB - AIMS: The impact of sexuality in patients with significant tricuspid regurgitation (TR) undergoing transcatheter tricuspid valve intervention (TTVI) is unknown. The aim of this study was to investigate sex-specific outcomes in patients with significant TR treated with TTVI vs. medical therapy alone. METHODS AND RESULTS: The Transcatheter Tricuspid Valve Therapies (TriValve) registry collected data on patients with significant TR from 24 centres who underwent TTVI from 2016 to 2021. A control cohort was formed by medically managed patients with >/=severe isolated TR diagnosed in 2015-18. The primary endpoint was freedom from all-cause mortality. Secondary endpoints were heart failure (HF) hospitalization, New York Heart Association (NYHA) functional status, and TR severity. One-year outcomes were assessed for the TriValve cohort and compared with the control cohort with the inverse probability of treatment weighting (IPTW). A total of 556 and 2072 patients were included from the TriValve and control groups, respectively. After TTVI, there was no difference between women and men in 1-year freedom from all-cause mortality 80.9% vs. 77.9%, P = 0.56, nor in HF hospitalization (P = 0.36), NYHA Functional Classes III and IV (P = 0.17), and TR severity >2+ at last follow-up (P = 0.42). Multivariable Cox-regression weighted by IPTW showed improved 1-year survival after TTVI compared with medical therapy alone in both women (adjusted hazard ratio 0.45, 95% confidence interval 0.23-0.83, P = 0.01) and men (adjusted hazard ratio 0.42, 95% confidence interval 0.18-0.89, P = 0.03). CONCLUSION: After TTVI in high-risk patients, there were no sex-related differences in terms of survival, HF hospitalization, functional status, and TR reduction up to 1 year. The IPTW analysis shows a survival benefit of TTVI over medical therapy alone in both women and men. CI - (c) The Author(s) 2022. Published by Oxford University Press on behalf of the European Society of Cardiology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. FAU - Scotti, Andrea AU - Scotti A AUID- ORCID: 0000-0003-4731-4384 AD - Montefiore-Einstein Center for Heart and Vascular Care, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA. AD - Cardiovascular Research Foundation, New York, NY, USA. FAU - Coisne, Augustin AU - Coisne A AUID- ORCID: 0000-0002-1662-7874 AD - Montefiore-Einstein Center for Heart and Vascular Care, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA. AD - Cardiovascular Research Foundation, New York, NY, USA. AD - University of Lille, Inserm, CHU Lille, Institut Pasteur de Lille, U1011-EGID, F-59000 Lille, France. FAU - Taramasso, Maurizio AU - Taramasso M AD - Heart Center Hirslanden Zurich, Zurich, Switzerland. FAU - Granada, Juan F AU - Granada JF AD - Cardiovascular Research Foundation, New York, NY, USA. FAU - Ludwig, Sebastian AU - Ludwig S AD - Montefiore-Einstein Center for Heart and Vascular Care, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA. AD - Cardiovascular Research Foundation, New York, NY, USA. AD - Department of Cardiology, University Heart and Vascular Center, Hamburg, Germany. FAU - Rodes-Cabau, Josep AU - Rodes-Cabau J AUID- ORCID: 0000-0001-8237-7095 AD - Quebec Heart and Lung Institute, Laval University, Quebec City, Quebec, Canada. FAU - Lurz, Philipp AU - Lurz P AUID- ORCID: 0000-0002-5993-4487 AD - Heart Center Leipzig at University of Leipzig and Leipzig Heart Institute, Leipzig, Germany. FAU - Hausleiter, Jorg AU - Hausleiter J AUID- ORCID: 0000-0003-2909-7961 AD - Medical Clinic and Polyclinic I, University Hospital of Munich, Munich, Germany. FAU - Fam, Neil AU - Fam N AD - Division of Cardiology, Toronto Heart Center, St Michael's Hospital, Toronto, Ontario, Canada. FAU - Kodali, Susheel K AU - Kodali SK AD - Division of Cardiology, Columbia University Medical Center, NewYork-Presbyterian Hospital, New York, NY, USA. FAU - Rosiene, Joel AU - Rosiene J AD - Montefiore-Einstein Center for Heart and Vascular Care, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA. FAU - Feinberg, Ari AU - Feinberg A AD - Montefiore-Einstein Center for Heart and Vascular Care, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA. FAU - Pozzoli, Alberto AU - Pozzoli A AD - Division of Cardiac Surgery, Cardiocentro Ticino Institute, Ente Ospedaliero Cantonale, Lugano, Switzerland. FAU - Alessandrini, Hannes AU - Alessandrini H AD - Asklepios Clinic St Georg, Medical Care Center Prof. Mathey, Prof. Schofer, Hamburg, Germany. FAU - Biasco, Luigi AU - Biasco L AD - Azienda Sanitaria Locale Torino 4. Via Battitore 7, 10071 Cirie, Italy. AD - Department of Biomedical Sciences, University of Italian Switzerland, Lugano, Switzerland. FAU - Brochet, Eric AU - Brochet E AD - Division of Cardiology, Bichat Hospital, Paris, France. FAU - Denti, Paolo AU - Denti P AD - Division of Cardiology and Department of Cardiac Surgery, San Raffaele University Hospital, Milan, Italy. FAU - Estevez-Loureiro, Rodrigo AU - Estevez-Loureiro R AD - Interventional Cardiology Clinic, University Hospital Alvaro Cunqueiro, Vigo, Spain. FAU - Frerker, Christian AU - Frerker C AD - University Heart Center, Schleswig-Holstein University, Lubeck, Germany. FAU - Ho, Edwin C AU - Ho EC AD - Montefiore-Einstein Center for Heart and Vascular Care, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA. FAU - Monivas, Vanessa AU - Monivas V AD - Division of Cardiology, Puerta de Hierro University Hospital, Madrid, Spain. FAU - Nickenig, Georg AU - Nickenig G AD - Division of Cardiology, Bonn University Hospital, Bonn, Germany. FAU - Praz, Fabien AU - Praz F AUID- ORCID: 0000-0001-5416-165X AD - Division of Cardiology, Inselspital, Bern University Hospital, Bern, Switzerland. FAU - Puri, Rishi AU - Puri R AD - Department of Cardiovascular Medicine, Cleveland Clinic Foundation, Cleveland, OH, USA. FAU - Sievert, Horst AU - Sievert H AD - Division of Cardiology, Cardiovascular Center Frankfurt, Frankfurt am Main, Germany. FAU - Tang, Gilbert H L AU - Tang GHL AD - Department of Cardiovascular Surgery, Mount Sinai Health System, New York, NY, USA. FAU - Andreas, Martin AU - Andreas M AUID- ORCID: 0000-0003-4950-5432 AD - Department of Cardiac Surgery, Medical University of Vienna, Vienna, Austria. FAU - Von Bardeleben, Ralph Stephan AU - Von Bardeleben RS AUID- ORCID: 0000-0002-1356-0037 AD - Division of Cardiology, University Medical Center, Mainz, Germany. FAU - Rommel, Karl-Philipp AU - Rommel KP AD - Heart Center Leipzig at University of Leipzig and Leipzig Heart Institute, Leipzig, Germany. FAU - Muntane-Carol, Guillem AU - Muntane-Carol G AD - Quebec Heart and Lung Institute, Laval University, Quebec City, Quebec, Canada. FAU - Gavazzoni, Mara AU - Gavazzoni M AUID- ORCID: 0000-0001-9516-8188 AD - Heart Center Hirslanden Zurich, Zurich, Switzerland. FAU - Braun, Daniel AU - Braun D AUID- ORCID: 0000-0002-6355-3222 AD - Medical Clinic and Polyclinic I, University Hospital of Munich, Munich, Germany. FAU - Koell, Benedikt AU - Koell B AD - Department of Cardiology, University Heart and Vascular Center, Hamburg, Germany. FAU - Kalbacher, Daniel AU - Kalbacher D AD - Department of Cardiology, University Heart and Vascular Center, Hamburg, Germany. AD - German Center for Cardiovascular Research, Partner Site Hamburg/Luebeck/Kiel, Germany. FAU - Connelly, Kim A AU - Connelly KA AD - Division of Cardiology, Toronto Heart Center, St Michael's Hospital, Toronto, Ontario, Canada. FAU - Juliard, Jean-Michel AU - Juliard JM AD - Division of Cardiology, Bichat Hospital, Paris, France. FAU - Harr, Claudia AU - Harr C AD - Asklepios Clinic St Georg, Medical Care Center Prof. Mathey, Prof. Schofer, Hamburg, Germany. FAU - Pedrazzini, Giovanni AU - Pedrazzini G AD - Department of Biomedical Sciences, University of Italian Switzerland, Lugano, Switzerland. AD - Division of Cardiology, Istituto Cardiocentro Ticino, Ente Ospedaliero Cantonale, Lugano, Switzerland. FAU - Russo, Giulio AU - Russo G AUID- ORCID: 0000-0002-6302-0135 AD - Cardiology Unit, Policlinico Tor Vergata, University of Rome, Rome, Italy. FAU - Philippon, Francois AU - Philippon F AD - Quebec Heart and Lung Institute, Laval University, Quebec City, Quebec, Canada. FAU - Schofer, Joachim AU - Schofer J AD - Asklepios Clinic St Georg, Medical Care Center Prof. Mathey, Prof. Schofer, Hamburg, Germany. FAU - Thiele, Holger AU - Thiele H AUID- ORCID: 0000-0002-0169-998X AD - Heart Center Leipzig at University of Leipzig and Leipzig Heart Institute, Leipzig, Germany. FAU - Unterhuber, Matthias AU - Unterhuber M AUID- ORCID: 0000-0002-8175-276X AD - Heart Center Leipzig at University of Leipzig and Leipzig Heart Institute, Leipzig, Germany. FAU - Himbert, Dominique AU - Himbert D AD - Division of Cardiology, Bichat Hospital, Paris, France. FAU - Alcazar, Marina Urena AU - Alcazar MU AD - Division of Cardiology, Bichat Hospital, Paris, France. FAU - Wild, Mirjam G AU - Wild MG AD - Division of Cardiology, Inselspital, Bern University Hospital, Bern, Switzerland. FAU - Windecker, Stephan AU - Windecker S AUID- ORCID: 0000-0002-4488-1335 AD - Division of Cardiology, Inselspital, Bern University Hospital, Bern, Switzerland. FAU - Jorde, Ulrich AU - Jorde U AD - Montefiore-Einstein Center for Heart and Vascular Care, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA. FAU - Maisano, Francesco AU - Maisano F AD - Division of Cardiology and Department of Cardiac Surgery, San Raffaele University Hospital, Milan, Italy. FAU - Leon, Martin B AU - Leon MB AD - Cardiovascular Research Foundation, New York, NY, USA. AD - Division of Cardiology, Columbia University Medical Center, NewYork-Presbyterian Hospital, New York, NY, USA. FAU - Hahn, Rebecca T AU - Hahn RT AD - Cardiovascular Research Foundation, New York, NY, USA. AD - Division of Cardiology, Columbia University Medical Center, NewYork-Presbyterian Hospital, New York, NY, USA. FAU - Latib, Azeem AU - Latib A AUID- ORCID: 0000-0001-9035-343X AD - Montefiore-Einstein Center for Heart and Vascular Care, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA. LA - eng SI - ClinicalTrials.gov/NCT03416166 PT - Journal Article PL - England TA - Eur Heart J JT - European heart journal JID - 8006263 SB - IM CIN - Eur Heart J. 2023 Jan 04;:. PMID: 36610069 MH - Male MH - Humans MH - Female MH - *Tricuspid Valve Insufficiency MH - Tricuspid Valve/surgery MH - *Heart Valve Prosthesis Implantation/methods MH - Treatment Outcome MH - Registries MH - *Heart Failure/complications OTO - NOTNLM OT - Sex OT - Transcatheter tricuspid valve intervention OT - Tricuspid regurgitation COIS- Conflict of Interest: A.S. has served as a consultant and received consulting fees from NeoChord Inc. A.C. has served as a consultant for Abbott and received speaker fees from Abbott and GE Healthcare. M.T. has served as a consultant for Abbott Vascular, Boston Scientific, 4Tech, and CoreMedic; and has received speaker honoraria from Edwards Lifesciences. S.L. has received travel compensation from Edwards Lifesciences. J.R.C. has received institutional research grants from Edwards Lifesciences. P.L. has received speaker fees from Abbott. J.H. has received speaker honoraria from Abbott Vascular and Edwards Lifesciences. S.K.K. has served on the scientific advisory board for Microinterventional Devices, Dura Biotech, Thubrikar Aortic Valve, and Supira; has served as a consultant for Meril Lifesciences, Admedus, Medtronic, and Boston Scientific; has served on the steering committee for Edwards Lifesciences and Abbott Vascular; has received honoraria from Meril Lifesciences, Admedus, Abbott Vascular, and Dura Biotech; and owns equity in Dura Biotech, Thubrikar Aortic Valve, Supira, and MID. H.A. has received consulting fees from Abbott and Edwards LifeSciences. E.B. has received speaker fees from Abbott Vascular. P.D. has served as a consultant for Abbott Vascular, 4Tech, Neovasc, and InnovHeart; and has received honoraria from Abbott and Edwards Lifesciences. R.E.L. has received speaker fees from Abbott, Boston, and Edwards Lifesciences. E.C.H. has served as a consultant and received consulting fees from NeoChord Inc. F.P. has received travel expenses from Edwards Lifesciences, Abbott Vascular, and Polares Medical. H.S. has received study honoraria, travel expenses, and consulting fees from 4Tech Cardio, Abbott, Ablative Solutions, Ancora Heart, Bavaria Medizin Technologie, Bioventrix, Boston Scientific, Carag, Cardiac Dimensions, Celonova, Comed BV, Contego, CVRx, Edwards Lifesciences, Endologix, Hemoteq, Lifetech, Maquet Getinge Group, Medtronic, Mitralign, Nuomao Medtech, Occlutech, PFM Medical, ReCor, Renal Guard, Rox Medical, Terumo, Vascular Dynamics, and Vivasure Medical. G.H.L.T. has served as a consultant, physician advisory board member, and faculty trainer for Abbott Structural Heart; has served as a consultant for Medtronic and NeoChord; and has served as a physician advisory board member for JenaValve. M.A. has served as a proctor/consultant for and has received speaking fees from Abbott, Edwards LifeSciences, Boston, Zoll, and Medtronic; and has received institutional grants from Edwards Lifesciences, Abbott, Medtronic, and LSI Solutions. M.G. has served as a consultant for Abbott Vascular. D.B. has received speaker honoraria and travel support from Abbott Vascular. D.K. has received lecture fees from Abbott and Edwards Lifesciences. K.A.C. has received honoraria from Abbott. J.S. has served as a consultant for Edwards Lifesciences. S.W. reports research, travel, or educational grants to the institution from Abbott, Abiomed, Amgen, Astra Zeneca, Bayer, Biotronik, Boehringer Ingelheim, Boston Scientific, Bristol Myers Squibb, Cardinal Health, CardioValve, Corflow Therapeutics, CSL Behring, Daiichi Sankyo, Edwards Lifesciences, Guerbet, InfraRedx, Janssen-Cilag, Johnson & Johnson, Medicure, Medtronic, Merck Sharp & Dohm, Miracor Medical, Novartis, Novo Nordisk, Organon, OrPha Suisse, Pfizer, Polares, Regeneron, Sanofi-Aventis, Servier, Sinomed, Terumo, Vifor, V-Wave. S.W. serves as unpaid advisory board member and/or unpaid member of the steering/executive group of trials funded by Abbott, Abiomed, Amgen, Astra Zeneca, Bayer, Boston Scientific, Biotronik, Bristol Myers Squibb, Edwards Lifesciences, Janssen, MedAlliance, Medtronic, Novartis, Polares, Recardio, Sinomed, Terumo, V-Wave, and Xeltis, but has not received personal payments by pharmaceutical companies or device manufacturers. He is also member of the steering/executive committee group of several investigator-initiated trials that receive funding by industry without impact on his personal remuneration. F.M. has served as a consultant for and received consulting fees and honoraria from Abbott Vascular, Edwards Lifesciences, Cardiovalve, SwissVortex, Perifect, Xeltis, Transseptal Solutions, Magenta, Valtech, and Medtronic; has reported being a cofounder of 4Tech; has received research grant support from Abbott, Medtronic, Edwards Lifesciences, Biotronik, Boston Scientific, NVT, and Terumo; has received royalties and owns intellectual property rights from Edwards Lifesciences (FMR surgical annuloplasty); and has reported being a shareholder in Cardiovalve, Swiss Vortex, Magenta, Transseptal Solutions, Occlufit, 4Tech, and Perifect. M.B.L. has received institutional clinical research grants from Abbott, Boston Scientific, Edwards Lifesciences, and Medtronic. R.T.H. has served as a consultant for Abbott Vascular, Abbott Structural, NaviGate, Philips Healthcare, Medtronic, Edwards Lifesciences, and GE Healthcare; has been the Chief Scientific Officer for the Echocardiography Core Laboratory at the Cardiovascular Research Foundation for multiple industry-supported trials, for which she receives no direct industry compensation; has received speaker fees from Boston Scientific and Baylis Medical; and has received nonfinancial support from 3mensio. A.L. has served on the advisory board for Medtronic, Abbott Vascular Boston Scientific, Edwards Lifesciences, Shifamed, NeoChord Inc, V-dyne, and Philips. All other authors have reported that they have no relationships relevant to the contents of this paper to disclose. EDAT- 2022/11/30 06:00 MHDA- 2023/03/10 06:00 CRDT- 2022/11/29 09:14 PHST- 2022/06/30 00:00 [received] PHST- 2022/11/04 00:00 [revised] PHST- 2022/11/25 00:00 [accepted] PHST- 2022/11/30 06:00 [pubmed] PHST- 2023/03/10 06:00 [medline] PHST- 2022/11/29 09:14 [entrez] AID - 6849886 [pii] AID - 10.1093/eurheartj/ehac735 [doi] PST - ppublish SO - Eur Heart J. 2023 Mar 7;44(10):822-832. doi: 10.1093/eurheartj/ehac735.