Evidence map›Paper›PMID 42159136›Full record

Observational studyESC heart failure2026

Impact of concomitant left-sided valve disease on outcomes following tricuspid valve transcatheter edge-to-edge repair: insights from EuroTR.

Jonas Gmeiner, Lukas Stolz, Karl-Patrik Kresoja, Jennifer von Stein, Vera Fortmeier, Christoph Pauschinger, Wolfgang Rottbauer, Mohammad Kassar, Bjoern Goebel, Paolo Denti and 47 more

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in ESC heart failure, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06307262 (European Registry of Transcatheter Repair for Tricuspid Regurgitation), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

NCT06307262 recruitingnot on this map

European Registry of Transcatheter Repair for Tricuspid Regurgitation (EuroTR)

Typeobservational_patient_registrySponsorLMU KlinikumRan2023 to 2030Enrolled3,000ConditionsTricuspid Regurgitation, Valvular Heart Disease, Heart FailureArmsT-TEER
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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

57 authors.

Jonas GmeinerMedizinische Klinik und Poliklinik I, LMU Klinikum, LMU München, Munich, Germany.ORCID 0000-0003-1507-6449
Lukas StolzMedizinische Klinik und Poliklinik I, LMU Klinikum, LMU München, Munich, Germany.
Karl-Patrik KresojaDepartment of Cardiology, Cardiology I, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany.ORCID 0000-0002-8616-6751
Jennifer von SteinDepartment of Cardiology, Heart Center, University of Cologne, Cologne, Germany.ORCID 0009-0000-3871-164X
Vera FortmeierClinic for General and Interventional Cardiology/Angiology, Herz- und Diabeteszentrum NRW, Universitätsklinik der Ruhr-Universität Bochum, Med. Fakultät OWL (Universität Bielefeld), Bad Oeynhausen, Germany.
Christoph PauschingerDepartment of Cardiology, University Heart and Vascular Centre Hamburg, Hamburg, Germany.
Wolfgang RottbauerUlm University Heart Center, Ulm, Germany.ORCID 0000-0003-4725-6217
Mohammad KassarClinic for General and Interventional Cardiology/Angiology, Herz- und Diabeteszentrum NRW, Universitätsklinik der Ruhr-Universität Bochum, Med. Fakultät OWL (Universität Bielefeld), Bad Oeynhausen, Germany.
Bjoern GoebelDepartment of Cardiology, Heart Center, Zentralklinik Bad Berka, Robert-Koch-Allee 9, Bad Berka 99437, Germany.
Paolo DentiHeart Valve Center, Cardio-Thoracic-Vascular Department, IRCCS San Raffaele Scientific Institute, Milan, Italy.ORCID 0000-0002-3075-0203
Paul AchouhCardiology Department, European Hospital Georges Pompidou, Université Paris Cité, Paris, France.
Tienush RassafDepartment of Cardiology and Vascular Medicine, West German Heart and Vascular Center, University Hospital Essen, University of Duisburg-Essen, Essen, Germany.ORCID 0000-0001-8001-0265
Manuel Barreiro-PerezHospital Álvaro Cunqueiro, Vigo, Spain.
Peter BoekstegersDepartment of Cardiology, Helios Klinikum Siegburg, Siegburg, Germany.
Andreas RückDepartment of Cardiology, Karolinska University Hospital, Stockholm, Sweden.
Monika ZdanyteMedical Clinic III, University Hospital Tübingen, Tübingen, Germany.
Marianna AdamoASST Spedali Civili di Brescia and Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, Brescia, Italy.ORCID 0000-0002-3855-1815
Flavien VincentCardiology Department, Centre Hospitalier Universitaire De Lille, Lille, France.
Philipp SchlegelDepartment of Internal Medicine III, Division of Cardiology, University Hospital Heidelberg, Ruprecht-Karl University Heidelberg, Heidelberg 69120, Germany.
Sebastian RoschDepartment of Cardiology, Cardiology I, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany.ORCID 0000-0002-4380-4821
Mirjam G WildDepartment of Cardiology and Angiology, Medical Center, Faculty of Medicine, University Heart Center, University of Freiburg, Hugstetter Str. 55, 79106, Freiburg, Germany.
Christian BeslerDepartment of Cardiology and Angiology, Medical Center, Faculty of Medicine, University Heart Center, University of Freiburg, Hugstetter Str. 55, 79106, Freiburg, Germany.
Stefan ToggweilerHeart Center Lucerne, Luzerner Kantonsspital, Lucerne, Switzerland.ORCID 0000-0002-7860-0298
Stephanie BrunnerHeart Center Lucerne, Luzerner Kantonsspital, Lucerne, Switzerland.
Julia GrapsaDepartment of Cardiology, Guys and St Thomas NHS Trust, London, UK.ORCID 0000-0003-4620-6234
Tiffany PattersonDepartment of Cardiology, Guys and St Thomas NHS Trust, London, UK.ORCID 0000-0001-7619-9122
Holger ThieleDepartment of Cardiology, Heart Center Leipzig at Leipzig University, Leipzig, Germany.ORCID 0000-0002-0169-998X
Tobias KisterDepartment of Cardiology, Heart Center Leipzig at Leipzig University, Leipzig, Germany.
Giuseppe TarantiniDepartment of Cardiac, Thoracic Vascular Sciences and Public Health, University of Padua, Padua, Italy.
Giulia MasieroDepartment of Cardiac, Thoracic Vascular Sciences and Public Health, University of Padua, Padua, Italy.
Marco De CarloUniversity of Pisa, Pisa, Italy.
Alessandro SticchiUniversity of Pisa, Pisa, Italy.
Fabian VossDepartment of Cardiology, Pulmonology and Angiology, Medical Faculty, Heinrich Heine University of Düsseldorf, Düsseldorf 40225, Germany.
Amin PolzinDepartment of Cardiology, Pulmonology and Angiology, Medical Faculty, Heinrich Heine University of Düsseldorf, Düsseldorf 40225, Germany.
Antonio Popolo RubbioDepartment of Cardiology, IRCCS Policlinico San Donato, San Donato Milanese, Milan, Italy.
Francesco BedogniDepartment of Cardiology, IRCCS Policlinico San Donato, San Donato Milanese, Milan, Italy.
Thorald StolteCardiovascular Research Institute Basel (CRIB) and Department of Cardiology, University Hospital Basel, University of Basel, Basel, Switzerland.
Thomas NestelbergerCardiovascular Research Institute Basel (CRIB) and Department of Cardiology, University Hospital Basel, University of Basel, Basel, Switzerland.ORCID 0000-0003-2173-5738
Thomas Benito-GonzalesDepartamento de Cardiología, Complejo Asistencial Universitario de León, León, Spain.
Enrique Sánchez-MuñózDepartamento de Cardiología, Complejo Asistencial Universitario de León, León, Spain.
Mathias H KonstandinDepartment of Internal Medicine III, Division of Cardiology, University Hospital Heidelberg, Ruprecht-Karl University Heidelberg, Heidelberg 69120, Germany.
Eric Van BelleCardiology Department, Centre Hospitalier Universitaire De Lille, Lille, France.ORCID 0000-0001-6509-443X
Marco MetraASST Spedali Civili di Brescia and Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, Brescia, Italy.
Tobias GeislerMedical Clinic III, University Hospital Tübingen, Tübingen, Germany.
Rodrigo Estévez-LoureiroHospital Álvaro Cunqueiro, Vigo, Spain.
Amir Abbas MahabadiDepartment of Cardiology and Vascular Medicine, West German Heart and Vascular Center, University Hospital Essen, University of Duisburg-Essen, Essen, Germany.
Nicole KaramCardiology Department, European Hospital Georges Pompidou, Université Paris Cité, Paris, France.
Francesco MaisanoHeart Valve Center, Cardio-Thoracic-Vascular Department, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Philipp LautenDepartment of Cardiology, Heart Center, Zentralklinik Bad Berka, Robert-Koch-Allee 9, Bad Berka 99437, Germany.
Fabien PrazDepartment of Cardiology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.ORCID 0000-0001-5416-165X
Mirjam KesslerUlm University Heart Center, Ulm, Germany.
Daniel KalbacherDepartment of Cardiology, University Heart and Vascular Centre Hamburg, Hamburg, Germany.
Volker RudolphClinic for General and Interventional Cardiology/Angiology, Herz- und Diabeteszentrum NRW, Universitätsklinik der Ruhr-Universität Bochum, Med. Fakultät OWL (Universität Bielefeld), Bad Oeynhausen, Germany.ORCID 0000-0001-5385-6839
Christos IliadisDepartment of Cardiology, Heart Center, University of Cologne, Cologne, Germany.ORCID 0000-0001-7655-8500
Philipp LurzDepartment of Cardiology, Cardiology I, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany.
Jörg HausleiterMedizinische Klinik und Poliklinik I, LMU Klinikum, LMU München, Munich, Germany.ORCID 0000-0003-2909-7961
EuroTR Investigators

Funding

German Heart Foundation
6 · The paper itself

Abstract

introductionThe impact of coexisting left-sided valvular heart disease (VHD) on clinical outcomes following tricuspid valve edge-to-edge repair (T-TEER) for tricuspid regurgitation (TR) remains unclear, particularly under real-world conditions. To evaluate the prevalence and prognostic impact of concomitant left-sided VHD in patients undergoing T-TEER.

methodsThis study included all patients undergoing T-TEER from the European Registry of Transcatheter Repair for Tricuspid Regurgitation (EuroTR; NCT06307262) with complete echocardiographic data on left-sided valve disease. Study endpoints included survival and heart failure hospitalizations (HFH) at 2 years, NYHA functional class, and TR reduction.

resultsAmong a total of 1647 eligible patients, 95.8%, 35.6%, and 3.8% had ≥mild, moderate, and severe concomitant VHD, respectively. Moderate or higher VHD was associated with a significantly reduced 2-year survival (P < .001) and reduced 2-year HFH-free survival (P = .005). Multivariate regression analysis confirmed ≥ moderate VHD to be an independent predictor of mortality (hazard ratio 1.54, 95% CI 1.21-1.96, P < .001). Despite worse TR and NYHA functional class at baseline in patients with ≥moderate VHD, T-TEER was associated with a significant TR reduction (P < .001) and symptomatic improvement (P < .001).

conclusionConcomitant left-sided VHD is common among patients undergoing T-TEER and is independently associated with worse survival and higher rates of HFH. Nevertheless, T-TEER provides meaningful symptomatic benefit and durable TR reduction in patients with and without VHD burden.

Indexed as

Cardiac CatheterizationHeart Valve Prosthesis ImplantationRegistriesTricuspid ValveTricuspid Valve InsufficiencyAgedAged, 80 and overEchocardiographyEuropeFemaleFollow-Up StudiesHumansMalePrognosisSurvival RateTreatment OutcomeAortic regurgitationAortic stenosisMitral regurgitationMitral stenosisMultivalvular diseaseTricuspid regurgitation

Identifiers

PMID42159136
PMCPMC13202459

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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.