Objective:

To provide detailed recommendations for establishing and maintaining programs for transcatheter tricuspid valve interventions, including repair and replacement.

Approach:

Key Findings:

• Multidisciplinary teams are essential for tricuspid valve interventions.
• Institutions must meet specific surgical and procedural volume thresholds.
• Operator experience is critical, with defined minimums for procedures.
• Registry participation is necessary for tracking long-term outcomes.
• Higher procedural volumes are associated with improved patient outcomes.

Interpretation:

The consensus document emphasizes a structured, evidence-based approach to transcatheter tricuspid valve interventions, highlighting the importance of team-based care and rigorous outcome tracking.

Limitations:

• Recommendations are based on evolving evidence and may change as new data emerges, potentially impacting clinical practice.
• Long-term outcomes beyond one year are still being studied.

Conclusion:

The consensus provides a framework to enhance the safety and effectiveness of transcatheter tricuspid valve interventions through structured programs and multidisciplinary collaboration.

Sources:

• JACC
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