Evidence map›Paper›PMID 36482160›Full record

ArticleEuropean journal of heart failure2022

Evolution of tricuspid regurgitation after transcatheter edge-to-edge mitral valve repair for secondary mitral regurgitation and its impact on mortality.

Marianna Adamo, Matteo Pagnesi, Giulia Ghizzoni, Rodrigo Estévez-Loureiro, Sergio Raposeiras-Roubin, Daniela Tomasoni, Davide Stolfo, Gianfranco Sinagra, Antonio Popolo Rubbio, Francesco Bedogni and 32 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in European journal of heart failure, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07623083 (Evaluation of a Treatment Algorithm for the Management of TAVI Patients With Significant Concomitant Mitral or Tricuspid Regurgitation), which is not on this map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
9.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07623083 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Evaluation of a Treatment Algorithm for the Management of TAVI Patients With Significant Concomitant Mitral or Tricuspid Regurgitation

TypeobservationalSponsorJosep Rodes-CabauRan2026 to 2034Enrolled300ConditionsAortic Stenosis, Mitral Regurgitation, Tricuspid Regurgitation, Transcatheter Aortic Valve Implantation (TAVI)
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 63 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Observational
  5. Worsening tricuspid regurgitation following a successful mitral valve procedure: how to manage.European heart journal supplements : journal of the European Society of Cardiology · 2026
    Article
  6. Aetiology, prevalence, and prognosis.European heart journal supplements : journal of the European Society of Cardiology · 2026
    Article
  7. Why we need treatment? Prognosis of tricuspid regurgitation.European heart journal supplements : journal of the European Society of Cardiology · 2026
    Article
  8. Review
  9. Article
  10. Review
  11. Review
  12. Review
  13. Article
  14. Article
  15. Observational
  16. Article
  17. Review
  18. Observational
  19. Article
  20. 2024 update in heart failure.ESC heart failure · 2025
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

42 authors at 16 institutions in 4 countries.

Marianna AdamoCardiology and Cardiac Catheterization Laboratory, ASST Spedali Civili di Brescia, Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, Brescia, Italy.
Matteo PagnesiCardiology and Cardiac Catheterization Laboratory, ASST Spedali Civili di Brescia, Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, Brescia, Italy.
Giulia GhizzoniCardiology and Cardiac Catheterization Laboratory, ASST Spedali Civili di Brescia, Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, Brescia, Italy.
Rodrigo Estévez-LoureiroDepartment of Cardiology, University Hospital Alvaro Cunqueiro, Vigo, Spain.
Sergio Raposeiras-RoubinDepartment of Cardiology, University Hospital Alvaro Cunqueiro, Vigo, Spain.
Daniela TomasoniCardiology and Cardiac Catheterization Laboratory, ASST Spedali Civili di Brescia, Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, Brescia, Italy.
Davide StolfoDepartment of Cardiology, Azienda Sanitaria Universitaria Giuliano Isontina (ASUGI) and Univeristy Hospital of Trieste, Trieste, Italy.
Gianfranco SinagraDepartment of Cardiology, Azienda Sanitaria Universitaria Giuliano Isontina (ASUGI) and Univeristy Hospital of Trieste, Trieste, Italy.
Antonio Popolo RubbioDepartment of Cardiology, IRCCS Policlinico San Donato, Milan, Italy.
Francesco BedogniDepartment of Cardiology, IRCCS Policlinico San Donato, Milan, Italy.
Federico De MarcoDepartment of Cardiology, IRCCS Policlinico San Donato, Milan, Italy.
Cristina GianniniCardiac Catheterization Laboratory, Cardiothoracic and Vascular Department, Azienda Ospedaliero Universitaria Pisana, Pisa, Italy.
Anna Sonia PetronioCardiac Catheterization Laboratory, Cardiothoracic and Vascular Department, Azienda Ospedaliero Universitaria Pisana, Pisa, Italy.
Laura StazzoniCardiac Catheterization Laboratory, Cardiothoracic and Vascular Department, Azienda Ospedaliero Universitaria Pisana, Pisa, Italy.
Tomás Benito-GonzálezDepartment of Cardiology, University Hospital of León, León, Spain.
Felipe Fernández-VázquezDepartment of Cardiology, University Hospital of León, León, Spain.
Carmen Garrote-ColomaDepartment of Cardiology, University Hospital of León, León, Spain.
Cosmo GodinoCardio-Thoracic-Vascular Department, San Raffaele University Hospital, Milan, Italy.
Eustachio AgricolaCardio-Thoracic-Vascular Department, San Raffaele University Hospital, Milan, Italy.
Andrea MunafòDivision of Cardiology, IRCCS Policlinico San Matteo Foundation, Pavia, Italy.
Isaac PascualHeart Area, Hospital Universitario Central de Asturias, Oviedo, Spain.
Pablo AvanzasHeart Area, Hospital Universitario Central de Asturias, Oviedo, Spain.
Victor LéonHeart Area, Hospital Universitario Central de Asturias, Oviedo, Spain.
Antonio MontefuscoDivision of Cardiology, Città della Salute e della Scienza University Hospital of Torino, Torino, Italy.
Paolo BorettoDivision of Cardiology, Città della Salute e della Scienza University Hospital of Torino, Torino, Italy.
Stefano PidelloDivision of Cardiology, Città della Salute e della Scienza University Hospital of Torino, Torino, Italy.
Vanessa Moñivas-PalomeroCardiology Department, Hospital Universitario Puerta de Hierro, Madrid, Spain.
Maria Del TrigoCardiology Department, Hospital Universitario Puerta de Hierro, Madrid, Spain.
Elena BiaginiCardiology Unit, St. Orsola Hospital, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Alessandra BerardiniCardiology Unit, St. Orsola Hospital, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Francesco SaiaCardiology Unit, St. Orsola Hospital, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Luis Nombela-FrancoCardiovascular Institute, Hospital Clinico San Carlos, IdISSC, Madrid, Spain.
Gabriela Tirado-ConteCardiovascular Institute, Hospital Clinico San Carlos, IdISSC, Madrid, Spain.
Alberto De AugustinCardiovascular Institute, Hospital Clinico San Carlos, IdISSC, Madrid, Spain.
Berenice Caneiro-QueijaDepartment of Cardiology, University Hospital Alvaro Cunqueiro, Vigo, Spain.
Antonio De LucaDepartment of Cardiology, Azienda Sanitaria Universitaria Giuliano Isontina (ASUGI) and Univeristy Hospital of Trieste, Trieste, Italy.
Luca BrancaCardiology and Cardiac Catheterization Laboratory, ASST Spedali Civili di Brescia, Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, Brescia, Italy.
Gregorio ZacconeCardiology and Cardiac Catheterization Laboratory, ASST Spedali Civili di Brescia, Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, Brescia, Italy.
Laura LupiCardiology and Cardiac Catheterization Laboratory, ASST Spedali Civili di Brescia, Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, Brescia, Italy.
Erik LipsicUniversity Medical Center Groningen, Groningen, The Netherlands.
Adriaan VoorsUniversity Medical Center Groningen, Groningen, The Netherlands.
Marco MetraCardiology and Cardiac Catheterization Laboratory, ASST Spedali Civili di Brescia, Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, Brescia, Italy.
Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia · ITAzienda Ospedaliera Citta' della Salute e della Scienza di Torino · ITAzienda Ospedaliera Universitaria Pisana · ITAzienda Sanitaria Universitaria Integrata di Trieste · ITAzienda USL di Bologna · ITHospital de León · ESHospital Universitario Central de Asturias · ESIRCCS Policlinico San Donato · ITUniversity Hospital Complex Of Vigo · ESHospital Clínico San Carlos · ESHospital Universitario Puerta de Hierro Majadahonda · ESSan Raffaele University of Rome · ITUniversity Medical Center Groningen · NLUniversity of Brescia · ITInstituto de Investigación Sanitaria del Hospital Clínico San Carlos · ESIstituti di Ricovero e Cura a Carattere Scientifico · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo evaluate short-term changes in tricuspid regurgitation (TR) after transcatheter edge-to-edge mitral valve repair (M-TEER) in secondary mitral regurgitation (SMR), their predictors and impact on mortality. METHODS AND

resultsThis is a retrospective analysis of SMR patients undergoing successful M-TEER (post-procedural mitral regurgitation ≤2+) at 13 European centres. Among 503 patients evaluated 79 (interquartile range [IQR] 40-152) days after M-TEER, 173 (35%) showed ≥1 degree of TR improvement, 97 (19%) had worsening of TR, and 233 (46%) remained unchanged. Smaller baseline left atrial diameter and residual mitral regurgitation 0/1+ were independent predictors of TR ≤2+ after M-TEER. There was a significant association between TR changes and New York Heart Association class and pulmonary artery systolic pressure decrease at echocardiographic re-assessment. At a median follow-up of 590 (IQR 209-1103) days from short-term echocardiographic re-assessment, all-cause mortality was lower in patients with improved compared to those with unchanged/worsened TR (29.6% vs. 42.3% at 3 years; log-rank p = 0.034). Baseline TR severity was not associated with mortality, whereas TR 0/1+ and 2+ at short-term follow-up was associated with lower all-cause mortality compared to TR 3/4+ (30.6% and 35.6% vs. 55.6% at 3 years; p < 0.001). A TR ≤2+ after M-TEER was independently associated with a 42% decreased risk of mortality (p = 0.011).

conclusionMore than one third of patients with SMR undergoing successful M-TEER experienced an improvement in TR. Pre-procedural TR was not associated with outcome, but a TR ≤2+ at short-term follow-up was independently associated with long-term mortality. Optimal M-TEER result and a small left atrium were associated with a higher likelihood of TR ≤2+ after M-TEER.

Indexed as

Heart FailureMitral ValveHumansRetrospective StudiesMortalityTranscatheter edge-to-edge mitral valve repairTricuspid regurgitation

Identifiers

PMID36482160
PMCPMC10086984
OpenAlexW4289333929

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LicenceCC BY-NC-ND
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.