Key result
T-TEER shows symptomatic and functional improvements with acceptable risk in frail older adults with severe TR.
Why the study?
Conventional surgical repair or replacement carries prohibitive risks in frail older adults with severe tricuspid regurgitation and heart failure, leading to therapeutic inertia and progressive functional loss.
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.
Answers are grounded in this paper and cite their sources.
Supports cardiogeriatric integration for T-TEER in frail elderly; leaves open randomized confirmation before practice change.
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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Esser et al. (2025) studied this question. Transcatheter tricuspid edge-to-edge repair (T-TEER) showed symptomatic and functional improvements with acceptable risk in frail older adults with severe tricuspid regurgitation.
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