What question did this study set out to answer?

Examine the effectiveness of transcatheter tricuspid edge-to-edge repair in frail older adults with severe tricuspid regurgitation and heart failure.

January 10, 2026Aging Clinical and Experimental Research0 citationsOpen Access

Transcatheter tricuspid edge-to-edge repair in frail older adults: a cardiogeriatric framework for integrated care

Q: What does this research mean for the field?

Transcatheter tricuspid edge-to-edge repair (T-TEER) shows symptomatic and functional improvements with acceptable risk in frail older adults with severe tricuspid regurgitation. Novelty: ClaimNovelty.CONFIRMATORY. Consensus alignment: ConsensusAlignment.SUPPORTS_CONSENSUS.

RERémi EsserHeart Failure & Transplant MHM. HarbounHeart Failure & Transplant MEM. EstebanHôpital La Porte Verte

Key Result

Transcatheter tricuspid edge-to-edge repair (T-TEER) showed symptomatic and functional improvements with acceptable risk in frail older adults with severe tricuspid regurgitation.

Key Points

Examine the effectiveness of transcatheter tricuspid edge-to-edge repair in frail older adults with severe tricuspid regurgitation and heart failure.
Narrative review of contemporary evidence on T-TEER
Exploration of challenges through a cardiogeriatric framework
Integration of multidisciplinary approaches in heart failure care
Evaluation of clinical trial data and real-world registries
T-TEER shows symptomatic and functional improvements in frail octogenarians
Use of a cardiogeriatric model decreases procedural risks
Integration of geriatrics and nursing enhances patient-centered care

Structured PICO

Population

Frail older adults with severe tricuspid regurgitation (TR) and heart failure

Intervention

Transcatheter tricuspid edge-to-edge repair (T-TEER) integrated within a cardiogeriatric framework

Integrating transcatheter tricuspid edge-to-edge repair (T-TEER) within a multidisciplinary cardiogeriatric framework offers a patient-centered approach to safely manage severe tricuspid regurgitation in frail older adults.

Main Result

Absolute Event Rate: 0% vs 0%

Abstract

Severe tricuspid regurgitation (TR) is increasingly recognised as a major cause of morbidity in older adults with heart failure (HF). Conventional surgical repair or replacement carries prohibitive risks in frail patients, leading to therapeutic inertia and progressive loss of function. The development of transcatheter tricuspid edge-to-edge repair (T-TEER) offers a less invasive, guideline-supported option for selected individuals previously considered inoperable. This narrative review summarises contemporary evidence and explores the specific challenges of T-TEER in frail older adults through a cardiogeriatric lens. It integrates epidemiology, diagnostic complexity, frailty and cognitive assessment, procedural considerations, and multidisciplinary coordination. Randomised trials and real-world registries consistently demonstrate symptomatic and functional improvements with acceptable procedural risk in octogenarians. Drawing on the experience of the Cardiogeriatric Department, Hôpital La Porte Verte (Versailles, France), this review outlines an integrated model embedding geriatrics, advanced nursing, and telemonitoring (Satelia ® Cardio) within HF care. This approach aligns with the Age-Friendly Health Systems framework and the ESC 2021 Heart Failure Guidelines, emphasising functional preservation and patient-centred priorities.

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