National Trends and In-Hospital Outcomes of Transcatheter and Surgical Tricuspid Valve Procedures

Authors

Luai Madanat, Corewell Health East Fellow
Ahmad Jabri, Corewell Health East Fellow
Mohammad Ayyad
Ahmad Al-Abdouh
Mohammed Mhanna
Laith Alhuneafat
Tiberio M. Frisoli
Liza Shaban
Ivan Hanson, Corewell Health East
Amr E. Abbas, Corewell Health East
Mohammad Alqarqaz
Pedro Arturo Villablanca

Document Type

Conference Proceeding

Publication Date

4-1-2025

Publication Title

Journal of the American College of Cardiology

Abstract

Background: Advancements in transcatheter tricuspid valve interventions (TTVI) have surged exponentially in recent years. Methods: We queried the national Inpatient sample (NIS) database and included data between Jan 1, 2011 and Dec 31, 2020. The primary objective was to characterize the trends in utilization of TTVI, surgical tricuspid valve repair (STVr) and replacement (STVR). The secondary objective of the study was to analyze the in-hospital outcomes associated with each type of intervention. A propensity score was calculated for all hospitalizations and unmatched hospitalizations were excluded from the outcome analysis. Results: A total of 98,202 TV interventions were identified. Of these, 1,830 (1.9%) constituted TTVI, 76,747 (78.2%) STVr and 19,625 (19.9%) STVR. Over the study period, the total number of TV interventions exhibited an exponential increase with STVRʼs proportion relative to all interventions declining by 2020 (Figure 1A). STVR accounted for the highest proportion of TV procedure-related deaths overall, followed by STVr, and lastly, TTVI (Figure 1B). STVr and STVR were associated with increased inpatient mortality (7% vs 2.4%, 11.6% vs 2.3%, respectively), circulatory shock (24.0% vs 11.8%, 25.7% vs 13.6%) and respiratory failure (10.8% vs 1.5%, 12.4% vs 1.9%, p< 0.001) when compared to TTVI (p < 0.001). Conclusion: TTVI are increasing in practice. Compared to surgical TV interventions, TTVI have improved in hospital mortality, circulatory shock and respiratory failure.

Volume

85

Issue

12 Suppl

First Page

831

Comments

American College of Cardiology Meeting, March 29-31, 2025, Chicago, IL

Last Page

831

Recommended Citation

Madanat L, Jabri A, Ayyad M, Al-Abdouh A, Mhanna M, Alhuneafat L, et al. [Hanson I, Abbas AE]. National trends and in-hospital outcomes of transcatheter and surgical tricuspid valve procedures. J Am Coll Cardiol. 2025 Apr 1;85(12 Suppl):831. doi:10.1016/S0735-1097(25)01315-4

DOI

10.1016/S0735-1097(25)01315-4