PMID- 37479006 OWN - NLM STAT- MEDLINE DCOM- 20231216 LR - 20231216 IS - 1535-6280 (Electronic) IS - 0146-2806 (Linking) VI - 48 IP - 12 DP - 2023 Dec TI - Therapeutic Outcomes Following Isolated Transcatheter Tricuspid Valve Repair: A Systematic Review and Meta-analysis. PG - 101985 LID - S0146-2806(23)00402-4 [pii] LID - 10.1016/j.cpcardiol.2023.101985 [doi] AB - Tricuspid regurgitation (TR) is traditionally treated surgically, but isolated transcatheter tricuspid valve repair (ITTVR) offers a less invasive option. This study conducts a meta-analysis and systematic review to evaluate ITTVR outcomes in patients with TR. Database searches until March 2023 identified studies assessing ITTVR safety and efficacy in moderate/severe TR patients. Primary outcomes analyzed were severe TR, NYHA functional class improvement, and 6-minute walking distance. Meta-analyses used Risk ratio (RR) or mean difference with a random effects model. The review included 25 studies with 2421 patients. ITTVR improved NYHA functional class (RR: 3.262), reduced TR severity (RR: 0.303), and enhanced 6-minute walking distance (MD: +47.077 m). Echocardiographic parameters improved, including reductions in TR vena contracta, TR EROA, septolateral tricuspid annular diameter, RVEDD, RV FAC, and TAPSE. LVEF and PASP showed no significant changes. ITTVR improves functional outcomes and echocardiographic parameters in TR patients. CI - Copyright (c) 2023 Elsevier Inc. All rights reserved. FAU - Siddiqui, Hasan Fareed AU - Siddiqui HF AD - Department of Internal Medicine, Dow University of Health Sciences, Karachi, Sindh, Pakistan. FAU - Khan, Adam Bilal AU - Khan AB AD - Department of Internal Medicine, Dow University of Health Sciences, Karachi, Sindh, Pakistan. Electronic address: adamkhan711@yahoo.com. FAU - Nasir, Muhammad Moiz AU - Nasir MM AD - Department of Internal Medicine, Dow University of Health Sciences, Karachi, Sindh, Pakistan. FAU - Latif, Fakhar AU - Latif F AD - Department of Internal Medicine, Dow University of Health Sciences, Karachi, Sindh, Pakistan. FAU - Siddiqui, Aisha Fareed AU - Siddiqui AF AD - Department of Internal Medicine, Aga Khan University Hospital, Karachi, Sindh, Pakistan. FAU - Akhtar, Parveen AU - Akhtar P AD - Department of Cardiology, National Institute of Cardiovascular Diseases, Karachi, Sindh, Pakistan. FAU - Hamza, Mohammad AU - Hamza M AD - Department of Internal Medicine, Albany Medical Center, Albany, NY. FAU - Barmanwalla, Alina AU - Barmanwalla A AD - Department of Internal Medicine, MD Brigham and Women's Hospital and Cape Cod Hospital, Boston, MA. LA - eng PT - Journal Article PT - Meta-Analysis PT - Review PT - Systematic Review DEP - 20230719 PL - Netherlands TA - Curr Probl Cardiol JT - Current problems in cardiology JID - 7701802 SB - IM MH - Humans MH - Tricuspid Valve/diagnostic imaging/surgery MH - Treatment Outcome MH - *Tricuspid Valve Insufficiency/surgery MH - Echocardiography MH - *Heart Valve Prosthesis Implantation/adverse effects MH - Severity of Illness Index MH - Cardiac Catheterization COIS- Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2023/07/22 10:42 MHDA- 2023/12/17 09:43 CRDT- 2023/07/21 19:23 PHST- 2023/07/06 00:00 [received] PHST- 2023/07/16 00:00 [accepted] PHST- 2023/12/17 09:43 [medline] PHST- 2023/07/22 10:42 [pubmed] PHST- 2023/07/21 19:23 [entrez] AID - S0146-2806(23)00402-4 [pii] AID - 10.1016/j.cpcardiol.2023.101985 [doi] PST - ppublish SO - Curr Probl Cardiol. 2023 Dec;48(12):101985. doi: 10.1016/j.cpcardiol.2023.101985. Epub 2023 Jul 19.