Research, cases and webinars in tricuspid interventions

Brought to you by the PCR Tricuspid Focus Group

The mission of the PCR Tricuspid Focus Group is to facilitate innovation and the development of up-to-date standards of care for patients with tricuspid valve disease, by aligning knowledge, unifying practice and eliminating cultural barriers among physicians and associations worldwide. In this section you will find content created by the Focus Group members, including the Group's digital team: webinars, journal club reviews, news article and cases.

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Learn the latest from the PCR Tricuspid Focus Group!

Launch the video to hear Marianna Adamo and Marta Sitges share how they and Julien Dreyfus strengthened the Leadership team at the end of last year, bringing welcome support to founders Francesco Maisano and Fabien Praz.
 
They explain their individual roles among the PCR Tricuspid Focus Group;...

Learn the latest from the PCR Tricuspid Focus Group!

Assessment and management of patients with multivalvular disease involving the tricuspid valve

22 May 2025 – From EuroPCR 2025

Gain expertise on managing multivalvular disease involving the tricuspid valve by understanding diagnostic challenges, intervention indications, and associated pathophysiological factors. This session includes complex case studies focusing on combined valvular lesions and guideline limitations.

Assessment and management of patients with multivalvular disease involving the tricuspid valve

How to select appropriate cardiovascular intervention for a patient with tricuspid regurgitation?

21 May 2025 – From EuroPCR 2025

Learn how to select appropriate cardiovascular interventions for tricuspid regurgitation patients by considering comorbidities, anatomical factors influencing procedural success, and imaging criteria for device selection. The session includes patient vignettes to illustrate decision-making pathways.

How to select appropriate cardiovascular intervention for a patient with tricuspid regurgitation?

How to build a tricuspid programme?

20 May 2025 – From EuroPCR 2025

Learn how to build a successful tricuspid valve programme with a focus on patient screening protocols, heart team roles, and post-procedural management. Gain expert perspectives on organizational requirements, referral optimization, multidisciplinary collaboration, and quality assessment for tricuspid interventions.

How to build a tricuspid programme?

Focus on the PCR Tricuspid Focus Group - PCR London Valves 2024

Julien Dreyfus and Fabien Praz discuss the mission of the PCR Tricuspid Focus Group, aimed at consolidating knowledge on tricuspid valve regurgitation. The main goal is to define future directions and establish best practices to ensure optimal patient care.

This interview was filmed at PCR London Valves...

Focus on the PCR Tricuspid Focus Group - PCR London Valves 2024

Recurrent and residual tricuspid regurgitation after transcatheter repair - Assessment and management

26 Nov 2024 – From PCR London Valves 2024

Join us as we delve into the critical topic of recurrent and residual tricuspid regurgitation after transcatheter repair. Gain valuable insights on how to avoid these complications, learn to assess the underlying mechanisms and severity, and explore the latest options for interventional treatment. This session, developed...

Recurrent and residual TR after transcatheter repair - Assessment and management

Tricuspid TEER - Advanced skills

25 Nov 2024 – From PCR London Valves 2024

Want to take your tricuspid TEER skills to the next level? Watch this video!

You’ll discover how to tackle common anatomical challenges, improve your imaging techniques with tools like intra-cardiac echocardiography and learn expert strategies for managing complex cases. Don't miss these valuable tips and tricks!

Tricuspid TEER - Advanced skills

Prognostic implications of residual tricuspid regurgitation grading after transcatheter tricuspid valve repair

18 Jun 2024

The take-home message for clinicians is that in the treatment of tricuspid regurgitation, the most frequent valvular disease alongside aortic stenosis, redefining procedural success as a function of the residual degree of TR is crucial.

Alessandro Sticchi

Reviewer

Alessandro Sticchi

Reviewer

Federico Bargagna
Prognostic implications of residual tricuspid regurgitation grading after transcatheter tricuspid valve repair

How to best image the atrioventricular valves?

14 May 2024 – From EuroPCR 2024

This session, in collaboration with the PCR Tricuspid Focus Group, aims to provide a comprehensive understanding of how to image the atrioventricular valves (mitral and tricuspid) to assess their anatomy and pathology. It covers the step-by-step evaluation of the mitral and tricuspid valves using transesophageal echocardiography...

How to best image the atrioventricular valves?

Prediction of mortality and heart failure hospitalization after transcatheter tricuspid valve interventions: Validation of TRISCORE

25 Apr 2024

This study highlights the TRISCORE's role in assessing risk for patients undergoing TTVI. Despite limitations, TRISCORE effectively identifies high-risk patients, aiding decision-making in a complex landscape of valvular heart disease management.

Reviewer

Federico Bargagna
Prediction of mortality and heart failure hospitalization after transcatheter tricuspid valve interventions: Validation of TRISCORE

Applying the TRILUMINATE eligibility criteria to real-world patients receiving tricuspid valve transcatheter edge-to-edge repair

19 Mar 2024

This study, based on the trial inclusion and exclusion criteria, aimed to compare outcomes in a contemporary “real-world” T-TEER cohort stratified by TRILUMINATE eligibility or ineligibility.

Jonathan Curio

Reviewer

Jonathan Curio
Karl-Philipp Rommel

Reviewer

Karl-Philipp Rommel
Applying the TRILUMINATE eligibility criteria to real-world patients receiving tricuspid valve TEER

Uncertainties in transcatheter tricuspid interventions

Follow Karl-Philipp Rommel as he shares insights on physiology relevant to diagnosing and treating TR-related right heart failure.
In this video, you will:

  • appreciate the challenges in patient assessment 
  • understand the need for adjunctive treatment targets
  • acknowledge challenges in multivalvular disease
Take-home messages from episode #5:
  1. Disease stages: criteria of futility and optimal response
  2. RV...
HF/RV function & TR Educational Series:

Hemodynamic implications of TTVI on right heart function

Follow Karl-Philipp Rommel as he shares insights on physiology relevant to diagnosing and treating TR-related right heart failure.

In this video you will learn:

  • the theoretical implications of TR reduction for RV performance
  • the clinical implications of TR reduction for biventricular performance
Conclusion of Episode #3

Implications of TTVI

Previous episode

Hemodynamic implications of TTVI

Prognosis after transcatheter tricuspid interventions

Follow Karl-Philipp Rommel as he shares insights on physiology relevant to diagnosing and treating TR-related right heart failure.
In this video you will learn about:

  • the data supporting prognostic implications of interventional TR reduction
  • the prognostic value of hemodynamic factors
  • the importance of central venous congestion
Key messages of episode #4
  1. Mortality and HF Hospitalization: Prognostic Benefit of Intervention...
Prognostic hemodynamic factors

Pathophysiology of right ventricular volume/pressure load

Follow Karl-Philipp Rommel as he shares insights on physiology relevant to diagnosing and treating TR-related right heart failure.

In this video you will learn:

  • to recall the unique physiology of right ventricular function
  • to understand the implications of RV pressure and volume load using the pressure-volume-loop framework
  • to illustrate the...
Pathophysiology of right ventricular volume/pressure load

Hemodynamic diagnosis of tricuspid regurgitation/right heart failure

Follow Karl-Philipp Rommel as he shares insights on physiology relevant to diagnosing and treating TR-related right heart failure, starting in this first episode with the hemodynamic assessment.
In this video you will learn:

  • to recognize the intricate relationship between symptoms and hemodynamics in (TR-related) right heart failure.
  • to...
Hemodynamic diagnosis of tricuspid regurgitation/right heart failure

HF/RV function & TR Educational Series

05 Feb 2024

In this series of tutorials, Karl-Philipp Rommel (Leipzig, Germany) shares insights on physiology relevant to diagnosing and treating TR-related right heart failure.

HF/RV function & TR Educational Series

What does the interventionist need to know from the imager?

21 Nov 2023 – From PCR London Valves 2023

Take inspiration from the discussions on the case of a 78-year-old patient with HTN, HLD, and AF, presenting with symptomatic heart failure, or that of a 59-year-old female patient, former smoker, with HTN, DM, and persistent AF, who had been treated for breast carcinoma and post-chemotherapy...

What does the interventionist need to know from the imager?

Tricuspid valve intervention in complex scenarios - Lead-related tricuspid regurgitation

20 Nov 2023 – From PCR London Valves 2023

Join this session to delve into the incidence, outcomes, and survival of patients experiencing tricuspid regurgitation following lead placement. Explore contemporary outcomes of transcatheter edge-to-edge repair for lead-related tricuspid regurgitation, and gain insights into imaging assessment approaches for this condition.

Tricuspid valve intervention in complex scenarios - Lead-related tricuspid regurgitation

Tricuspid valve intervention in complex scenarios - Tackling tricuspid regurgitation using a multidisciplinary approach

20 Nov 2023 – From PCR London Valves 2023

This session explores the diverse phenotypes of tricuspid regurgitation patients, emphasizing the clinical implications and advocating for a multidisciplinary approach to assessment and treatment. It covers TR clinical courses, investigation pathways, and case scenarios, including atrial fibrillation, heart failure (preserved and reduced ejection fraction), pulmonary hypertension,...

Tricuspid valve intervention in complex scenarios - Tackling tricuspid regurgitation using a multidisciplinary approach